Orthodontic Specialty Group P.A.

Orthodontic Specialty Group P.A. was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 90% of everything it billed.

33Billing provider infoORTHODONTIC SPECIALTY GROUP P.A.
JACKSON, TN 38305

33aNPI1417941469assigned 09/06/2005

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$1.05M

24GClaims12,762

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Tennessee

Rank by total paid#14 of 79

Median peer was paid$240K

This provider vs. median4.4×

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	2,315	$214K
2019	2,275	$202K
2020	1,942	$158K
2021	1,850	$147K
2022	1,468	$116K
2023	1,341	$106K
2024incomplete	1,571	$103K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	90%	10,236	9,757	$940K
D0140	Limited oral evaluation - problem focused	4.5%	1,993	1,986	$48K
D8080	Comprehensive orthodontic treatment of the adolescent dentition	4.4%	38	37	$46K
D0330	Panoramic radiographic image	<1%	361	357	$6K
D0340		<1%	91	90	$5K
D8660		<1%	43	43	$2K

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 officialHIGHT, JAMES (OWNER ORTHODONTIST)