Dental
Higgs, Wilson
Higgs, Wilson was paid $1.26M by Medicaid between Mar 2018 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoHIGGS, WILSON
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
33aNPI1508849555assigned 11/23/2005
33bProvider typePediatric Dentist
28Total paid$1.26M
24GClaims48,664
24DCodes billed15
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#50 of 112
Median peer was paid$1.03M
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 | |
|---|---|---|---|
| 2018 | 5,344 | $138K | |
| 2019 | 7,169 | $179K | |
| 2020 | 6,451 | $165K | |
| 2021 | 7,669 | $199K | |
| 2022 | 7,701 | $200K | |
| 2023 | 7,756 | $206K | |
| 2024incomplete | 6,574 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 8,937 | 8,790 | $284K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 11,771 | 11,569 | $269K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 10,698 | 10,526 | $215K |
| D1110 | Prophylaxis - adult | 12% | 3,812 | 3,743 | $155K |
| D0272 | Bitewings - two radiographic images | 8.5% | 6,334 | 6,250 | $106K |
| D0330 | Panoramic radiographic image | 5.6% | 1,545 | 1,500 | $70K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.0% | 2,212 | 1,995 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,167 | 1,154 | $33K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.3% | 233 | 184 | $16K |
| D1351 | Sealant - per tooth | 1.2% | 473 | 137 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,092 | 1,078 | $13K |
| D2140 | <1% | 186 | 121 | $11K |
3 more codes
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.