Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

DS of Bartlett PLLC

DS of Bartlett PLLC was paid $185K by Medicaid between Jan 2018 and Jan 2019, across 17 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 19% of everything it billed.

33Billing provider infoDS OF BARTLETT PLLC
BARTLETT, TN 38134
33aNPI1558738468assigned 08/26/2015
33bProvider typeDentist
28Total paid$185K
24GClaims6,908
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#114 of 242
Median peer was paid$164K
This provider vs. median1.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20186,667$179K
2019241$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2391 Resin-based composite - one surface, posterior, primary or permanent 19% 698 324 $35K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18% 612 292 $34K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 939 881 $21K
D1110 Prophylaxis - adult 11% 545 507 $20K
D1120 Dental cleaning, childProphylaxis - child 11% 640 609 $20K
D1208 Topical application of fluoride, excluding varnish 10% 1,086 1,023 $19K
D0274 Bitewings - four radiographic images 6.5% 507 475 $12K
D0150 Comprehensive oral evaluation - new or established patient 4.1% 305 284 $8K
D0272 Bitewings - two radiographic images 3.4% 369 354 $6K
D0330 Panoramic radiographic image 2.4% 184 180 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.4% 97 88 $3K
D0140 Limited oral evaluation - problem focused 1.1% 106 98 $2K
5 more codes
D0220 Intraoral - periapical first radiographic image 1.0% 182 $2K
D1351 Sealant - per tooth <1% 41 $966.90
D0230 Intraoral - periapical each additional radiographic image <1% 15 $126.75
D1330 0% 260 $0.00
D0350 0% 322 $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 officialMINNICK, JAN (OPERATIONS COORDINATOR)