Clinic
Lavergne Smiles, PC
Lavergne Smiles, PC was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoLAVERGNE SMILES, PC
LA VERGNE, TN 37086
LA VERGNE, TN 37086
33aNPI1578892493assigned 12/24/2009
33bProvider typeDental Clinic/Center
28Total paid$297K
24GClaims9,883
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#20 of 40
Median peer was paid$259K
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
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 | 1,811 | $54K | |
| 2019 | 1,979 | $59K | |
| 2020 | 1,743 | $49K | |
| 2021 | 1,813 | $53K | |
| 2022 | 2,163 | $70K | |
| 2024incomplete | 374 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 1,779 | 1,746 | $74K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 2,670 | 2,627 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,036 | 2,009 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 879 | 861 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 8.8% | 450 | 439 | $26K |
| D0274 | Bitewings - four radiographic images | 8.6% | 1,004 | 983 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 313 | 165 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 555 | 540 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 60 | 38 | $4K |
| D4355 | <1% | 12 | 12 | $680.75 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | 31 | $659.29 |
| D0272 | Bitewings - two radiographic images | <1% | 27 | 26 | $472.03 |
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 officialPATEL, ARVIND (PRESIDENT)
Parent organizationLAVERGNE SMILES, PC