Dental
South Louisville Dental Specialists INC
South Louisville Dental Specialists INC was paid $404K by Medicaid between Nov 2021 and Dec 2024, across 8 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 38% of everything it billed.
33Billing provider infoSOUTH LOUISVILLE DENTAL SPECIALISTS INC
LOUISVILLE, KY 40214
LOUISVILLE, KY 40214
33aNPI1548259377assigned 10/14/2005
33bProvider typeDentist
28Total paid$404K
24GClaims2,983
24DCodes billed8
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#87 of 350
Median peer was paid$95K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2021 | 141 | $31K | |
| 2022 | 968 | $171K | |
| 2023 | 891 | $138K | |
| 2024incomplete | 983 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 38% | 82 | 79 | $152K |
| D8670 | Periodic orthodontic treatment visit | 26% | 123 | 120 | $106K |
| D0330 | Panoramic radiographic image | 14% | 1,275 | 1,255 | $57K |
| D8999 | 12% | 86 | 81 | $50K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 857 | 844 | $19K |
| D0340 | 4.3% | 305 | 299 | $17K | |
| D9996 | <1% | 32 | 29 | $1K | |
| D9986 | <1% | 223 | 213 | $642.00 |
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 officialWICKSON, ARTHUR (CO-OWNER)