Bristol Dental Group, PC

Bristol Dental Group, PC was paid $39K by Medicaid between Jan 2018 and Mar 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoBRISTOL DENTAL GROUP, PC
BRISTOL, TN 37620

33aNPI1649567025assigned 07/06/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims1,555

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#228 of 336

Median peer was paid$123K

This provider vs. median0.3×

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	529	$13K
2019	493	$13K
2020	411	$10K
2021	122	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	524	513	$12K
D1208	Topical application of fluoride, excluding varnish	31%	617	604	$12K
D1110	Prophylaxis - adult	23%	215	211	$9K
D1120	Dental cleaning, childProphylaxis - child	13%	169	161	$5K
D0150	Comprehensive oral evaluation - new or established patient	1.4%	18	18	$540.42
D0272	Bitewings - two radiographic images	<1%	12	12	$202.24

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 officialPITTMAN, JASON (PRESIDENT)