Dental
Knoxville Pediatric Dentistry, PLLC
Knoxville Pediatric Dentistry, PLLC was paid $3.36M by Medicaid between Jun 2021 and Oct 2022, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoKNOXVILLE PEDIATRIC DENTISTRY, PLLC
KNOXVILLE, TN 37918
KNOXVILLE, TN 37918
33aNPI1649879271assigned 10/24/2020
33bProvider typePediatric Dentist
28Total paid$3.36M
24GClaims164,519
24DCodes billed23
24AFirst – last monthJun 2021 – Oct 2022
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#26 of 112
Median peer was paid$1.03M
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2021 | 48,884 | $1.31M | |
| 2022 | 115,635 | $2.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 24,201 | 15,912 | $529K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 6,208 | 1,757 | $488K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 26,991 | 17,885 | $426K |
| D1206 | Topical application of fluoride varnish | 11% | 26,412 | 17,362 | $354K |
| D0330 | Panoramic radiographic image | 5.4% | 6,794 | 4,509 | $182K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 4,060 | 1,961 | $161K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.6% | 2,638 | 882 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 3,193 | 1,557 | $149K |
| D1351 | Sealant - per tooth | 4.4% | 8,049 | 1,801 | $149K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 7,465 | 4,806 | $138K |
| D1110 | Prophylaxis - adult | 3.8% | 4,671 | 3,004 | $128K |
| D0272 | Bitewings - two radiographic images | 3.2% | 9,626 | 6,151 | $106K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 4,856 | $83K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 2,300 | $81K |
| D1354 | 1.6% | 11,757 | $53K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 2,685 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 4,580 | $40K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 2,619 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 4,972 | $35K |
| D9248 | <1% | 342 | $16K | |
| D2929 | <1% | 31 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 53 | $1K |
| D2330 | <1% | 16 | $951.60 |
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 officialGERRITY, CEANN (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Knoxville Pediatric Dentistry, PLLC | Sevierville, TN | $439K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.