Dental
Lifetime Dental LLC
Lifetime Dental LLC was paid $307K by Medicaid between Oct 2018 and Nov 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoLIFETIME DENTAL LLC
GREENWOOD, MS 38930
GREENWOOD, MS 38930
33aNPI1679024442assigned 10/17/2016
33bProvider typeDentist
28Total paid$307K
24GClaims12,364
24DCodes billed13
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#63 of 261
Median peer was paid$64K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2018 | 55 | $1K | |
| 2019 | 339 | $8K | |
| 2020 | 106 | $2K | |
| 2021 | 674 | $17K | |
| 2022 | 4,250 | $97K | |
| 2023 | 4,613 | $105K | |
| 2024incomplete | 2,327 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 2,994 | 2,668 | $76K |
| D1351 | Sealant - per tooth | 12% | 2,051 | 242 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,543 | 1,318 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 505 | 248 | $33K |
| D0274 | Bitewings - four radiographic images | 8.3% | 1,086 | 918 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 1,526 | 1,343 | $21K |
| D8670 | Periodic orthodontic treatment visit | 5.4% | 260 | 201 | $17K |
| D1206 | Topical application of fluoride varnish | 5.3% | 808 | 687 | $16K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 420 | 377 | $14K |
| D0330 | Panoramic radiographic image | 4.5% | 359 | 305 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 454 | 373 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 90 | 50 | $5K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 268 | $2K |
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 officialJOHNSON, DARYL (SOLE PROPRIETOR)
Parent organizationJOHNSON DENTAL CLINIC INC