Dental
Knoxville Pediatric Dentistry, PLLC
Knoxville Pediatric Dentistry, PLLC was paid $439K by Medicaid between Nov 2021 and Aug 2022, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoKNOXVILLE PEDIATRIC DENTISTRY, PLLC
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
33aNPI1447627914assigned 08/31/2015
33bProvider typePediatric Dentist
28Total paid$439K
24GClaims31,276
24DCodes billed19
24AFirst – last monthNov 2021 – Aug 2022
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#67 of 112
Median peer was paid$1.03M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 1,366 | $9K | |
| 2022 | 29,910 | $430K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 4,643 | 2,673 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 5,936 | 3,410 | $80K |
| D1206 | Topical application of fluoride varnish | 14% | 5,233 | 3,009 | $59K |
| D0330 | Panoramic radiographic image | 6.4% | 1,412 | 817 | $28K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 1,374 | 751 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 500 | 251 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.4% | 308 | 147 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 3,414 | 726 | $19K |
| D1110 | Prophylaxis - adult | 4.3% | 765 | 454 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 423 | 207 | $14K |
| D0272 | Bitewings - two radiographic images | 3.1% | 1,358 | 760 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 1,870 | 1,080 | $13K |
7 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 651 | $11K |
| D0274 | Bitewings - four radiographic images | 1.9% | 513 | $8K |
| D1354 | 1.7% | 1,895 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 466 | $6K |
| D1351 | Sealant - per tooth | 1.3% | 291 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 190 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 34 | $994.44 |
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 officialGERRITY, CEANN (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Knoxville Pediatric Dentistry, PLLC | Knoxville, TN | $3.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.