Dental
Dickson Pediatric Dentistry PLLC
Dickson Pediatric Dentistry PLLC was paid $10.78M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoDICKSON PEDIATRIC DENTISTRY PLLC
DICKSON, TN 37055
DICKSON, TN 37055
33aNPI1407023971assigned 05/13/2008
33bProvider typePediatric Dentist
28Total paid$10.78M
24GClaims336,279
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#6 of 112
Median peer was paid$1.03M
This provider vs. median10×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 43,423 | $1.43M | |
| 2019 | 46,947 | $1.49M | |
| 2020 | 40,660 | $1.24M | |
| 2021 | 47,209 | $1.47M | |
| 2022 | 52,264 | $1.73M | |
| 2023 | 55,406 | $1.78M | |
| 2024incomplete | 50,370 | $1.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 50,970 | 50,529 | $1.63M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 59,158 | 58,629 | $1.37M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 16,284 | 7,847 | $1.15M |
| D1206 | Topical application of fluoride varnish | 10% | 55,065 | 54,591 | $1.10M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.9% | 9,560 | 3,350 | $1.06M |
| D9248 | 6.6% | 8,364 | 8,142 | $706K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.2% | 8,347 | 3,158 | $671K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 8,383 | 4,060 | $501K |
| D1110 | Prophylaxis - adult | 4.2% | 11,012 | 10,909 | $453K |
| D0330 | Panoramic radiographic image | 3.2% | 8,630 | 8,539 | $348K |
| D0272 | Bitewings - two radiographic images | 2.9% | 19,106 | 18,908 | $316K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 36,901 | 11,485 | $295K |
15 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 3,518 | $205K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 16,180 | $186K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 6,412 | $182K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 5,510 | $137K |
| D0274 | Bitewings - four radiographic images | 1.2% | 5,167 | $130K |
| D1351 | Sealant - per tooth | <1% | 2,080 | $65K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,983 | $65K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 748 | $60K |
| D7962 | <1% | 322 | $60K | |
| D2331 | <1% | 546 | $40K | |
| D7961 | <1% | 202 | $28K | |
| D2933 | <1% | 123 | $20K | |
| D2330 | <1% | 50 | $3K | |
| D0431 | <1% | 539 | $103.00 | |
| D1999 | 0% | 119 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTRITIKUS, JOHN (DENTIST OWNER)