Dental
Firestone Dental Group , P.L.L.C.
Firestone Dental Group , P.L.L.C. was paid $18.00M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoFIRESTONE DENTAL GROUP , P.L.L.C.
MEMPHIS, TN 38107
MEMPHIS, TN 38107
33aNPI1629129242assigned 01/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$18.00M
24GClaims528,239
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#2 of 336
Median peer was paid$123K
This provider vs. median146×
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 | 113,541 | $3.81M | |
| 2019 | 109,571 | $3.51M | |
| 2020 | 48,923 | $1.80M | |
| 2021 | 59,374 | $2.08M | |
| 2022 | 53,558 | $1.64M | |
| 2023 | 73,385 | $2.47M | |
| 2024incomplete | 69,887 | $2.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 83,966 | 83,415 | $2.86M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 107,054 | 106,298 | $2.64M |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 100,641 | 99,983 | $2.11M |
| D1351 | Sealant - per tooth | 9.7% | 58,531 | 21,432 | $1.74M |
| D1110 | Prophylaxis - adult | 7.1% | 29,165 | 28,991 | $1.27M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 18,434 | 4,656 | $1.15M |
| D0210 | Intraoral - complete series of radiographic images | 6.0% | 18,569 | 18,469 | $1.08M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.2% | 6,645 | 2,251 | $756K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 7,663 | 3,472 | $567K |
| D2140 | 3.1% | 8,725 | 2,855 | $549K | |
| D0272 | Bitewings - two radiographic images | 2.9% | 29,959 | 29,757 | $526K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.9% | 6,164 | 2,009 | $516K |
18 more codes
| D0274 | Bitewings - four radiographic images | 2.2% | 15,275 | $404K |
| D0330 | Panoramic radiographic image | 2.1% | 8,364 | $384K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 4,171 | $313K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.5% | 460 | $267K |
| D1206 | Topical application of fluoride varnish | 1.4% | 12,278 | $259K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 6,199 | $185K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,183 | $134K |
| D2931 | <1% | 616 | $88K | |
| D2950 | <1% | 700 | $83K | |
| D2330 | <1% | 949 | $59K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 257 | $21K |
| D0140 | Limited oral evaluation - problem focused | <1% | 579 | $14K |
| D2390 | <1% | 49 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 288 | $4K |
| D1354 | <1% | 206 | $2K | |
| D9110 | <1% | 32 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 74 | $2K |
| D9995 | 0% | 43 | $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 officialGIPSON, LOVELACE (MANAGING MEMBER)