Dental
Pediatric Dentistry PC
Pediatric Dentistry PC was paid $815K by Medicaid between Aug 2019 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY PC
KNOXVILLE, TN 37909
KNOXVILLE, TN 37909
33aNPI1437557378assigned 12/09/2014
33bProvider typePediatric Dentist
28Total paid$815K
24GClaims39,671
24DCodes billed21
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#62 of 112
Median peer was paid$1.03M
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 1,713 | $38K | |
| 2020 | 7,601 | $171K | |
| 2021 | 10,454 | $245K | |
| 2022 | 10,777 | $175K | |
| 2023 | 5,285 | $120K | |
| 2024incomplete | 3,841 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 6,320 | 5,717 | $190K |
| D1206 | Topical application of fluoride varnish | 15% | 6,545 | 5,885 | $121K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,598 | 987 | $104K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 3,937 | 3,576 | $85K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.1% | 2,961 | 2,553 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 2,038 | 1,915 | $55K |
| D1351 | Sealant - per tooth | 6.4% | 2,245 | 870 | $52K |
| D0272 | Bitewings - two radiographic images | 3.4% | 1,820 | 1,632 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 2,418 | 2,155 | $26K |
| D0330 | Panoramic radiographic image | 2.6% | 638 | 553 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 1,929 | 884 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 268 | 180 | $13K |
9 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 245 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 62 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 387 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 187 | $3K |
| D7961 | <1% | 20 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 73 | $2K |
| D1354 | <1% | 49 | $233.20 | |
| D1330 | 0% | 5,874 | $0.00 | |
| D1999 | 0% | 57 | $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 officialKOCH, MICHAEL (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Next Step Counselling Services | Cumming, IA | $11.43M |
| University Urologists, INC., PC | Indianapolis, IN | $4.95M |
| Spine and Sport Physical Therapy of Waupaca LLC | Waupaca, WI | $93K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.