Dental
Kdnashvilledc
Kdnashvilledc was paid $10K by Medicaid between Mar 2024 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoKDNASHVILLEDC
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1629767793assigned 05/04/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims2,384
24DCodes billed13
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#281 of 336
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2024incomplete | 2,384 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 139 | 92 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 124 | 82 | $3K |
| D1206 | Topical application of fluoride varnish | 19% | 212 | 134 | $2K |
| D0274 | Bitewings - four radiographic images | 6.1% | 40 | 29 | $607.24 |
| D0330 | Panoramic radiographic image | 5.5% | 39 | 28 | $548.00 |
| D9920 | 5.2% | 398 | 90 | $515.58 | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 60 | 12 | $220.85 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 24 | 14 | $153.72 |
| D0350 | <1% | 42 | 27 | $10.04 | |
| D1330 | 0% | 220 | 138 | $0.00 | |
| D9997 | 0% | 731 | 391 | $0.00 | |
| D0603 | 0% | 82 | 53 | $0.00 |
1 more codes
| D9991 | 0% | 273 | $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 officialWAN, TANYIKA (VP ADMINISTRATIVE SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Kdpctn | Hermitage, TN | $1.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.