Dental
Madison Pediatric Dental Group, PLLC
Madison Pediatric Dental Group, PLLC was paid $532K by Medicaid between Apr 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoMADISON PEDIATRIC DENTAL GROUP, PLLC
MADISON, MS 39110
MADISON, MS 39110
33aNPI1669795241assigned 03/10/2010
33bProvider typePediatric Dentist
28Total paid$532K
24GClaims20,118
24DCodes billed18
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#42 of 81
Median peer was paid$580K
This provider vs. median0.9×
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 | 699 | $4K | |
| 2019 | 908 | $21K | |
| 2020 | 1,251 | $27K | |
| 2021 | 3,325 | $95K | |
| 2022 | 4,313 | $98K | |
| 2023 | 5,378 | $150K | |
| 2024incomplete | 4,244 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 5,447 | 4,677 | $142K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,906 | 3,439 | $97K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 3,530 | 3,153 | $56K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 435 | 246 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 944 | 732 | $30K |
| D0272 | Bitewings - two radiographic images | 5.5% | 1,489 | 1,356 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 334 | 213 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 298 | 135 | $23K |
| D1206 | Topical application of fluoride varnish | 4.0% | 1,124 | 875 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 1,453 | 1,237 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.5% | 164 | 44 | $18K |
| D0330 | Panoramic radiographic image | 1.6% | 155 | 148 | $8K |
6 more codes
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 officialJONES, AMY (OWNER)
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|---|---|---|
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.