Clinic
Childersburg Family Dental
Childersburg Family Dental was paid $33K by Medicaid between Nov 2022 and Nov 2024, across 10 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 19% of everything it billed.
33Billing provider infoCHILDERSBURG FAMILY DENTAL
CHILDERSBURG, AL 35044
CHILDERSBURG, AL 35044
33aNPI1467171249assigned 08/24/2022
33bProvider typeDental Clinic/Center
28Total paid$33K
24GClaims1,658
24DCodes billed10
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Alabama
Rank by total paid#27 of 59
Median peer was paid$28K
This provider vs. median1.2×
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 | 123 | $3K | |
| 2023 | 1,075 | $22K | |
| 2024incomplete | 460 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 19% | 480 | 442 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 179 | 175 | $5K |
| D1999 | 14% | 308 | 207 | $5K | |
| D0330 | Panoramic radiographic image | 14% | 138 | 115 | $5K |
| D1110 | Prophylaxis - adult | 12% | 133 | 108 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 220 | 210 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 139 | 114 | $3K |
| D0274 | Bitewings - four radiographic images | 1.6% | 30 | 24 | $540.80 |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 16 | 15 | $426.30 |
| D0272 | Bitewings - two radiographic images | <1% | 15 | 15 | $283.50 |
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 officialWEAVER, ROXANNE (DENTIST, OWNER)