Dental
West Tennessee Pediatric Dental Group INC
West Tennessee Pediatric Dental Group INC was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 36% of everything it billed.
33Billing provider infoWEST TENNESSEE PEDIATRIC DENTAL GROUP INC
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1528152394assigned 10/03/2006
33bProvider typePediatric Dentist
28Total paid$1.62M
24GClaims39,850
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#44 of 112
Median peer was paid$1.03M
This provider vs. median1.6×
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 | 5,623 | $257K | |
| 2019 | 6,495 | $288K | |
| 2020 | 5,453 | $233K | |
| 2021 | 5,849 | $240K | |
| 2022 | 6,582 | $240K | |
| 2023 | 5,496 | $225K | |
| 2024incomplete | 4,352 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 36% | 5,677 | 1,935 | $580K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 16% | 3,442 | 1,423 | $253K |
| D9248 | 9.2% | 1,842 | 1,697 | $148K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 4,299 | 4,067 | $87K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 3,146 | 2,969 | $85K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 1,397 | 759 | $81K |
| D1206 | Topical application of fluoride varnish | 4.9% | 4,268 | 4,028 | $79K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 2,973 | 2,876 | $67K |
| D0272 | Bitewings - two radiographic images | 4.0% | 4,700 | 4,463 | $64K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 1,805 | 1,690 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 3,170 | 2,985 | $36K |
| D2140 | 1.4% | 384 | 253 | $22K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 368 | $20K |
| D1110 | Prophylaxis - adult | <1% | 379 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,235 | $12K |
| D1351 | Sealant - per tooth | <1% | 358 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 117 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 45 | $3K |
| D0330 | Panoramic radiographic image | <1% | 12 | $475.62 |
| D1999 | 0% | 233 | $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 officialWILLIAMS, JOHN (PRESIDENT PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| W & W Transportation LLC | New Orleans, LA | $1.32M |
| Mobile Premier Pediatric Dentistry, LLC | Mobile, AL | $944K |
| J & C Williams Home Health, LLC | West Memphis, AR | $935K |
| Regional Eye Center, PC | Kingsport, TN | $588K |
| Carbondale Elem SCH Dist 95 | Carbondale, IL | $458K |
| ARC of Bradford County INC | Starke, FL | $108K |
| Associates of Medicine/John D Williams,md,pllc | Stillwater, OK | $27K |
| Elliott County Schools | Sandy Hook, KY | $14K |
| Prattville Heart Center LLC | Prattville, AL | $50.70 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.