Dental
Children's Dental Clinic, PA
Children's Dental Clinic, PA was paid $85K by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL CLINIC, PA
TUPELO, MS 38801
TUPELO, MS 38801
33aNPI1619579349assigned 11/09/2020
33bProvider typePediatric Dentist
28Total paid$85K
24GClaims3,508
24DCodes billed9
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#65 of 81
Median peer was paid$580K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 104 | $3K | |
| 2021 | 1,229 | $28K | |
| 2022 | 1,064 | $23K | |
| 2023 | 337 | $9K | |
| 2024incomplete | 774 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 1,055 | 954 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 966 | 867 | $25K |
| D1206 | Topical application of fluoride varnish | 22% | 779 | 723 | $19K |
| D0272 | Bitewings - two radiographic images | 6.2% | 317 | 270 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 182 | 145 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 122 | 98 | $1K |
| D0330 | Panoramic radiographic image | <1% | 17 | 16 | $812.30 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | 14 | $694.68 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 56 | 27 | $595.96 |
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 officialSUMNER, TRICE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Richard B Warriner DDS PA | Tupelo, MS | $924.02 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.