Dental
House Mountain Dentistry
House Mountain Dentistry was paid $330K by Medicaid between Apr 2021 and Jun 2024, across 19 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 24% of everything it billed.
33Billing provider infoHOUSE MOUNTAIN DENTISTRY
MAYNARDVILLE, TN 37807
MAYNARDVILLE, TN 37807
33aNPI1558957159assigned 12/17/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$330K
24GClaims10,689
24DCodes billed19
24AFirst – last monthApr 2021 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#122 of 336
Median peer was paid$123K
This provider vs. median2.7×
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 | 3,213 | $98K | |
| 2022 | 4,230 | $129K | |
| 2023 | 2,370 | $79K | |
| 2024incomplete | 876 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 24% | 1,170 | 597 | $81K |
| D1110 | Prophylaxis - adult | 14% | 1,260 | 1,159 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,924 | 1,804 | $43K |
| D1206 | Topical application of fluoride varnish | 11% | 1,873 | 1,734 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 1,103 | 1,024 | $32K |
| D2160 | 4.6% | 213 | 130 | $15K | |
| D0274 | Bitewings - four radiographic images | 4.1% | 644 | 588 | $13K |
| D0330 | Panoramic radiographic image | 3.9% | 392 | 345 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 224 | 213 | $11K |
| D2140 | 3.2% | 182 | 121 | $11K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 355 | 308 | $8K |
| D0272 | Bitewings - two radiographic images | 1.8% | 396 | 371 | $6K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 643 | $6K |
| D1351 | Sealant - per tooth | <1% | 102 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 74 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 59 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | $380.25 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 45 | $332.76 |
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 officialLONG, DEBBIE (OFFICE MANAGER)