Dental
Vicksburg Family Dental 61N
Vicksburg Family Dental 61N was paid $493K by Medicaid between Jul 2018 and Nov 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoVICKSBURG FAMILY DENTAL 61N
VICKSBURG, MS 39183
VICKSBURG, MS 39183
33aNPI1649626573assigned 05/10/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$493K
24GClaims19,971
24DCodes billed18
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#70 of 379
Median peer was paid$78K
This provider vs. median6.4×
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 | 1,301 | $13K | |
| 2019 | 743 | $19K | |
| 2020 | 743 | $19K | |
| 2021 | 3,929 | $86K | |
| 2022 | 5,123 | $116K | |
| 2023 | 3,789 | $105K | |
| 2024incomplete | 4,343 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,998 | 2,510 | $76K |
| D1351 | Sealant - per tooth | 12% | 2,298 | 329 | $58K |
| D0140 | Limited oral evaluation - problem focused | 12% | 1,779 | 1,385 | $57K |
| D0330 | Panoramic radiographic image | 11% | 1,304 | 1,136 | $52K |
| D0274 | Bitewings - four radiographic images | 9.0% | 1,956 | 1,650 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 1,742 | 1,560 | $44K |
| D1206 | Topical application of fluoride varnish | 7.5% | 1,845 | 1,508 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 1,159 | 886 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 1,764 | 1,438 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 169 | 81 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 1,667 | 616 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 899 | 812 | $14K |
6 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 47 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 90 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 191 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 19 | $163.47 |
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 officialGARNER, TERRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vicksburg Family Dental | Vicksburg, MS | $2.64M |
| Dental Group of Ellisville, PLLC | Ellisville, MS | $1.66M |
| Dental Group of Magee PLLC | Magee, MS | $266K |
| Magnolia Family Dental, PLLC | Magnolia, MS | $113K |
| Dental Solutions of Clinton, PLLC | Clinton, MS | $2K |
| Oxford Family Dental PLLC | Oxford, MS | $2K |
| Gautier Family Dental | Gautier, MS | $569.69 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.