Clinic
Mint Dental LLC
Mint Dental LLC was paid $616.72 by Medicaid between Jul 2022 and Jul 2022, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 56% of everything it billed.
33Billing provider infoMINT DENTAL LLC
PEARL, MS 39208
PEARL, MS 39208
33aNPI1427641950assigned 02/16/2021
33bProvider typeDental Clinic/Center
28Total paid$616.72
24GClaims31
24DCodes billed2
24AFirst – last monthJul 2022 – Jul 2022
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#44 of 53
Median peer was paid$44K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 31 | $616.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 56% | 16 | 12 | $346.12 |
| D1206 | Topical application of fluoride varnish | 44% | 15 | 12 | $270.60 |
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 officialLILES, ANTOINETTE (OWNER/OPERATING DENTIST)