Dental
TN Specialty Dental Services, PLLC
TN Specialty Dental Services, PLLC was paid $117K by Medicaid between Sep 2024 and Dec 2024, across 15 billing codes.
Its largest line is D0120 , dental checkup, returning patient — 20% of everything it billed.
33 Billing provider infoTN SPECIALTY DENTAL SERVICES, PLLC
33a NPI1699532630 assigned 03/05/2024
28 Total paid$117K
24G Claims3,940
24D Codes billed15
24A First – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Tennessee
Rank by total paid #54 of 79
Median peer was paid $240K
This provider vs. median 0.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed .
Entity Proliferation Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $20K $40K $60K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2024incomplete 3,940 $117K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient
20% 903
899
$23K
D1120 Dental cleaning, childProphylaxis - child
19% 617
614
$22K
D1206 Topical application of fluoride varnish
16% 850
845
$19K
D1110 Prophylaxis - adult
12% 309
309
$14K
D8670 Periodic orthodontic treatment visit
9.2% 119
115
$11K
D7140 Extraction, erupted tooth or exposed root
5.1% 100
63
$6K
D0272 Bitewings - two radiographic images
3.9% 258
257
$4K
D0274 Bitewings - four radiographic images
3.8% 162
159
$4K
D0330 Panoramic radiographic image
3.4% 93
92
$4K
D0220 Intraoral - periapical first radiographic image
2.6% 250
234
$3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis
2.2% 87
82
$3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent
1.4% 22
18
$2K
3 more codes
D0230 Intraoral - periapical each additional radiographic image
<1%
112
$1K
D0150 Comprehensive oral evaluation - new or established patient
<1%
29
$820.76
D0140 Limited oral evaluation - problem focused
<1%
29
$643.69
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
Parent organization TN SPECIALTY DENTAL SERVICES, PLLC
Same official Other billing entities under DASCH, CHARLOTTE Full network →
Provider Location Paid
Ut Bcdo Specialty Dental Services, PLLC West Jordan, UT $14.06M TN Specialty Dental Services, PLLC Brentwood, TN $8.67M CDPT II PC Dallas, TX $3.16M TN Specialty Dental Services, PLLC Knoxville, TN $848K Ne Specialty Dental Services LLC Omaha, NE $521K MT Oms Specialty Dental Services, PLLC Billings, MT $480K Co Specialty Dental Services PLLC Aurora, CO $341K Co Specialty Dental Services PLLC Glendale, CO $255K Ut Specialty Dental Services, PLLC Spanish Fork, UT $166K Co Specialty Dental Services PLLC Parker, CO $120K TN Specialty Dental Services, PLLC Hendersonville, TN $98K Ne Oms Specialty Dental Services, LLC Omaha, NE $57K TN Specialty Dental Services, PLLC Nolensville, TN $54K Ok Oms Specialty Dental Services Oklahoma City, OK $38K Ne Specialty Dental Services LLC Omaha, NE $35K Ok Specialty Dental Services PLLC Oklahoma City, OK $32K Co Specialty Dental Services PLLC Thornton, CO $23K Co Specialty Dental Services PLLC Colorado Springs, CO $13K Co Specialty Dental Services PLLC Colorado Springs, CO $5K TN Specialty Dental Services, PLLC Brentwood, TN $5K
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.