Dental
Pearl River Dental, PLLC
Pearl River Dental, PLLC was paid $607K by Medicaid between Feb 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoPEARL RIVER DENTAL, PLLC
PEARL, MS 39208
PEARL, MS 39208
33aNPI1417366725assigned 08/12/2014
33bProvider typeDentist
28Total paid$607K
24GClaims29,032
24DCodes billed20
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#36 of 261
Median peer was paid$64K
This provider vs. median9.4×
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 | 3,208 | $34K | |
| 2019 | 3,401 | $64K | |
| 2020 | 3,028 | $57K | |
| 2021 | 6,704 | $126K | |
| 2022 | 4,266 | $74K | |
| 2023 | 4,080 | $110K | |
| 2024incomplete | 4,345 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 5,786 | 4,315 | $115K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 745 | 312 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 3,024 | 2,447 | $60K |
| D0274 | Bitewings - four radiographic images | 9.2% | 2,998 | 2,212 | $56K |
| D1351 | Sealant - per tooth | 9.2% | 2,864 | 317 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 2,199 | 1,553 | $49K |
| D0140 | Limited oral evaluation - problem focused | 7.7% | 1,861 | 1,348 | $47K |
| D1206 | Topical application of fluoride varnish | 6.0% | 2,810 | 1,888 | $37K |
| D0330 | Panoramic radiographic image | 5.9% | 1,057 | 808 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 2,013 | 1,736 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 339 | 177 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,759 | 1,271 | $14K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 212 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 37 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 483 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 407 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 387 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $1K |
| D0603 | 0% | 14 | $0.00 | |
| D0601 | 0% | 17 | $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 officialTOUPS, PATTY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Magnolia Orthodontics | Hattiesburg, MS | $1.98M |
| Garner Nichols Dental PLLC | Hattiesburg, MS | $653K |
| Pontotoc Family Dental PLLC | Pontotoc, MS | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.