Maple Leaf Implant and General Dentistry, PLLC

Maple Leaf Implant and General Dentistry, PLLC was paid $63K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoMAPLE LEAF IMPLANT AND GENERAL DENTISTRY, PLLC
COOKEVILLE, TN 38501

33aNPI1679879415assigned 01/26/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$63K

24GClaims2,402

24DCodes billed10

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#210 of 336

Median peer was paid$123K

This provider vs. median0.5×

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	226	$5K
2019	369	$10K
2020	317	$8K
2021	211	$5K
2022	238	$6K
2023	437	$12K
2024incomplete	604	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	928	905	$22K
D1110	Prophylaxis - adult	24%	365	364	$15K
D1206	Topical application of fluoride varnish	18%	521	517	$11K
D1208	Topical application of fluoride, excluding varnish	9.8%	315	304	$6K
D1120	Dental cleaning, childProphylaxis - child	7.9%	152	151	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.0%	19	12	$1K
D0274	Bitewings - four radiographic images	1.4%	37	37	$896.79
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.2%	27	24	$780.92
D0272	Bitewings - two radiographic images	<1%	25	24	$396.90
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	13	$380.25

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 officialBRYANT, JERALD (DENTIST)