Dental
Foothills Pediatric Dentristry, P.C.
Foothills Pediatric Dentristry, P.C. was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 23% of everything it billed.
33Billing provider infoFOOTHILLS PEDIATRIC DENTRISTRY, P.C.
MARYVILLE, TN 37804
MARYVILLE, TN 37804
33aNPI1629029657assigned 05/15/2006
33bProvider typePediatric Dentist
28Total paid$2.22M
24GClaims66,607
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#37 of 112
Median peer was paid$1.03M
This provider vs. median2.2×
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 | 4,481 | $126K | |
| 2019 | 6,739 | $186K | |
| 2020 | 7,384 | $184K | |
| 2021 | 9,383 | $278K | |
| 2022 | 12,321 | $514K | |
| 2023 | 13,789 | $517K | |
| 2024incomplete | 12,510 | $414K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 23% | 5,862 | 5,497 | $509K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 13,058 | 12,500 | $410K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 13,580 | 13,008 | $311K |
| D1206 | Topical application of fluoride varnish | 14% | 15,176 | 14,520 | $304K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 2,562 | 591 | $252K |
| D0272 | Bitewings - two radiographic images | 5.0% | 6,717 | 6,424 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,040 | 1,992 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 2,097 | 1,848 | $57K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 2.1% | 77 | 70 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 598 | 286 | $40K |
| D8660 | 1.2% | 616 | 600 | $28K | |
| D8680 | 1.2% | 129 | 105 | $27K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,779 | $20K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 197 | $16K |
| D0330 | Panoramic radiographic image | <1% | 312 | $13K |
| D1110 | Prophylaxis - adult | <1% | 118 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 76 | $4K |
| D1351 | Sealant - per tooth | <1% | 139 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 495 | $4K |
| D9110 | <1% | 14 | $564.64 | |
| D9987 | 0% | 33 | $0.00 | |
| D1999 | 0% | 885 | $0.00 | |
| D9986 | 0% | 31 | $0.00 | |
| D9420 | 0% | 16 | $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 officialOSBORN, GARRY (OWNER/DENTISIT)