Dental
Childrens Dental Center Hernando LLC
Childrens Dental Center Hernando LLC was paid $177K by Medicaid between May 2022 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoCHILDRENS DENTAL CENTER HERNANDO LLC
HERNANDO, MS 38632
HERNANDO, MS 38632
33aNPI1528710761assigned 01/19/2022
33bProvider typePediatric Dentist
28Total paid$177K
24GClaims6,754
24DCodes billed11
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#61 of 81
Median peer was paid$580K
This provider vs. median0.3×
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 | 344 | $7K | |
| 2023 | 1,509 | $46K | |
| 2024incomplete | 4,901 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,888 | 1,639 | $53K |
| D1206 | Topical application of fluoride varnish | 17% | 1,357 | 1,185 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,100 | 942 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 598 | 525 | $23K |
| D0330 | Panoramic radiographic image | 7.5% | 308 | 268 | $13K |
| D1351 | Sealant - per tooth | 5.9% | 432 | 62 | $10K |
| D0272 | Bitewings - two radiographic images | 4.3% | 422 | 371 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 248 | 215 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 273 | 213 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 92 | 27 | $4K |
| D1110 | Prophylaxis - adult | 0% | 36 | 15 | $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 officialRHOADS, BRYAN (OWNER)