Clinic
Tooth Extraction Clinic
Tooth Extraction Clinic was paid $40K by Medicaid between Jan 2023 and Dec 2024, across 5 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 32% of everything it billed.
33Billing provider infoTOOTH EXTRACTION CLINIC
HENDERSONVILLE, TN 37075
HENDERSONVILLE, TN 37075
33aNPI1568120160assigned 12/01/2021
33bProvider typeDental Clinic/Center
28Total paid$40K
24GClaims1,603
24DCodes billed5
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#35 of 40
Median peer was paid$259K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 1,521 | $38K | |
| 2024incomplete | 82 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 32% | 392 | 56 | $13K |
| D0330 | Panoramic radiographic image | 24% | 416 | 174 | $10K |
| D0140 | Limited oral evaluation - problem focused | 22% | 604 | 304 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 91 | 24 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 100 | 50 | $2K |
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, JOHNNY (COO)