Dental
Pediatric Dentistry PC
Pediatric Dentistry PC was paid $260K by Medicaid between Oct 2022 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY PC
POWELL, TN 37849
POWELL, TN 37849
33aNPI1699283432assigned 01/15/2018
33bProvider typePediatric Dentist
28Total paid$260K
24GClaims14,016
24DCodes billed16
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#71 of 112
Median peer was paid$1.03M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 1,200 | $24K | |
| 2023 | 6,957 | $130K | |
| 2024incomplete | 5,859 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 2,262 | 2,112 | $66K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,217 | 2,082 | $47K |
| D1206 | Topical application of fluoride varnish | 18% | 2,408 | 2,254 | $46K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 11% | 1,041 | 969 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 381 | 230 | $22K |
| D1351 | Sealant - per tooth | 4.5% | 489 | 187 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 988 | 912 | $10K |
| D0330 | Panoramic radiographic image | 2.6% | 198 | 196 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 824 | 326 | $6K |
| D0272 | Bitewings - two radiographic images | 2.4% | 404 | 397 | $6K |
| D0274 | Bitewings - four radiographic images | 1.4% | 189 | 182 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 60 | 39 | $3K |
4 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 officialESKER, VALERIE (OWNER/PEDIATRIC DENTIST)