Childrens Dentist

Childrens Dentist was paid $205K by Medicaid between Apr 2018 and Dec 2020, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoCHILDRENS DENTIST
CLARKSVILLE, TN 37042

33aNPI1578062030assigned 02/09/2018

33bProvider typeDentist

28Total paid$205K

24GClaims9,171

24DCodes billed11

24AFirst – last monthApr 2018 – Dec 2020

Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#111 of 242

Median peer was paid$164K

This provider vs. median1.2×

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
2018	2,453	$57K
2019	3,536	$82K
2020	3,182	$65K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	2,778	2,757	$64K
D1120	Dental cleaning, childProphylaxis - child	31%	1,978	1,962	$63K
D1206	Topical application of fluoride varnish	26%	2,727	2,706	$53K
D0272	Bitewings - two radiographic images	5.2%	616	609	$11K
D1110	Prophylaxis - adult	4.3%	218	216	$9K
D0220	Intraoral - periapical first radiographic image	1.2%	219	216	$3K
D0330	Panoramic radiographic image	<1%	38	38	$2K
D0274	Bitewings - four radiographic images	<1%	28	27	$665.16
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	14	14	$413.56
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$292.50
D1999		0%	543	509	$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 officialDEEDS, SARAH (OWNER)