Dental
Vicksburg Orthodontics LLC
Vicksburg Orthodontics LLC was paid $561K by Medicaid between Aug 2019 and Dec 2024, across 5 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 97% of everything it billed.
33Billing provider infoVICKSBURG ORTHODONTICS LLC
VICKSBURG, MS 39180
VICKSBURG, MS 39180
33aNPI1619370012assigned 09/30/2014
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$561K
24GClaims6,094
24DCodes billed5
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Mississippi
Rank by total paid#33 of 56
Median peer was paid$629K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2019 | 97 | $5K | |
| 2020 | 434 | $28K | |
| 2021 | 1,438 | $124K | |
| 2022 | 1,878 | $182K | |
| 2023 | 1,334 | $120K | |
| 2024incomplete | 913 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 97% | 5,723 | 5,012 | $546K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 216 | 197 | $8K |
| D0340 | <1% | 58 | 57 | $3K | |
| D9310 | <1% | 38 | 37 | $2K | |
| D0350 | <1% | 59 | 56 | $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 officialGARNER, LAKE (OWNER)