Clinic
Powell Family Dentistry
Powell Family Dentistry was paid $2.02M by Medicaid between Mar 2023 and Dec 2024, across 43 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 14% of everything it billed.
33Billing provider infoPOWELL FAMILY DENTISTRY
POWELL, TN 37849
POWELL, TN 37849
33aNPI1669135646assigned 10/18/2021
33bProvider typeDental Clinic/Center
28Total paid$2.02M
24GClaims64,170
24DCodes billed43
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#6 of 40
Median peer was paid$259K
This provider vs. median7.8×
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 | |
|---|---|---|---|
| 2023 | 19,956 | $493K | |
| 2024incomplete | 44,214 | $1.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 14% | 557 | 373 | $283K |
| D1110 | Prophylaxis - adult | 8.6% | 4,514 | 4,264 | $173K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 2,323 | 608 | $130K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 1,935 | 1,108 | $127K |
| D1354 | 6.2% | 14,478 | 1,949 | $126K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 4,489 | 4,257 | $121K |
| D0330 | Panoramic radiographic image | 5.3% | 3,294 | 2,996 | $107K |
| D1351 | Sealant - per tooth | 5.1% | 3,841 | 899 | $103K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 1,687 | 877 | $88K |
| D1206 | Topical application of fluoride varnish | 4.2% | 4,382 | 4,167 | $86K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 1,815 | 1,636 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 2,765 | 2,575 | $61K |
31 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 641 | $47K |
| D1120 | Dental cleaning, child | 2.2% | 1,625 | $45K |
| D0274 | Bitewings - four radiographic images | 2.2% | 2,529 | $44K |
| D5110 | 2.2% | 71 | $44K | |
| D4355 | 2.1% | 757 | $42K | |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 3,553 | $36K |
| D3320 | 1.6% | 67 | $32K | |
| D5120 | 1.6% | 54 | $32K | |
| D3310 | 1.4% | 69 | $28K | |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 1,408 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 259 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 4,382 | $24K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.1% | 35 | $23K |
| D2332 | <1% | 250 | $20K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 631 | $18K |
| D2331 | <1% | 153 | $11K | |
| D2335 | <1% | 121 | $11K | |
| D2330 | <1% | 118 | $6K | |
| D2954 | <1% | 175 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 415 | $6K |
| D4341 | <1% | 48 | $6K | |
| D4342 | <1% | 168 | $5K | |
| D9110 | <1% | 169 | $3K | |
| D2394 | <1% | 22 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 38 | $699.05 |
| D2950 | <1% | 17 | $133.07 | |
| D1330 | 0% | 55 | $0.00 | |
| D1310 | 0% | 28 | $0.00 | |
| D9910 | 0% | 70 | $0.00 | |
| D0350 | 0% | 148 | $0.00 | |
| D0180 | 0% | 14 | $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 officialPITTENGER, GINA (OWNER)