Clinic
Peach Tree Dental West Monroe, LLC
Peach Tree Dental West Monroe, LLC was paid $616K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoPEACH TREE DENTAL WEST MONROE, LLC
WEST MONROE, LA 71291
WEST MONROE, LA 71291
33aNPI1699314799assigned 01/06/2020
33bProvider typeDental Clinic/Center
28Total paid$616K
24GClaims14,055
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Louisiana
Rank by total paid#17 of 59
Median peer was paid$90K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2020 | 15 | $428.03 | |
| 2021 | 725 | $23K | |
| 2022 | 3,063 | $100K | |
| 2023 | 4,215 | $156K | |
| 2024incomplete | 6,037 | $337K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 1,484 | 825 | $164K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.6% | 1,593 | 1,311 | $59K |
| D1110 | Prophylaxis - adult | 9.4% | 1,063 | 1,022 | $58K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.4% | 281 | 145 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 1,142 | 1,065 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 951 | 900 | $41K |
| D0330 | Panoramic radiographic image | 6.0% | 568 | 544 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 1,162 | 1,089 | $36K |
| D0272 | Bitewings - two radiographic images | 4.6% | 1,213 | 1,151 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 1,247 | 1,184 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 1,524 | 1,424 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 270 | 185 | $24K |
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 officialPORTER, JONI (COO)
| Provider | Location | Paid |
|---|---|---|
| West Monroe Pediatrics, LLC | West Monroe, LA | $4.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.