The Children's Dentist

The Children's Dentist was paid $20K by Medicaid between Jan 2018 and Mar 2018, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoTHE CHILDREN'S DENTIST
CLARKSVILLE, TN 37042

33aNPI1598757361assigned 08/18/2005

33bProvider typePediatric Dentist

28Total paid$20K

24GClaims865

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Pediatric Dentist providers in Tennessee

Rank by total paid#97 of 112

Median peer was paid$1.03M

This provider vs. median0.0×

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	865	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	34%	210	210	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	247	247	$6K
D1206	Topical application of fluoride varnish	26%	271	271	$5K
D0272	Bitewings - two radiographic images	9.2%	104	104	$2K
D0220	Intraoral - periapical first radiographic image	1.6%	33	25	$329.68

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, LARY (PRESIDENT OF CORPORATION)