Dental
Pediatric Dentistry
Pediatric Dentistry was paid $5.02M by Medicaid between Jan 2018 and May 2021, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY
HENDERSONVILLE, TN 37075
HENDERSONVILLE, TN 37075
33aNPI1700184512assigned 03/02/2011
33bProvider typePediatric Dentist
28Total paid$5.02M
24GClaims158,400
24DCodes billed23
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#19 of 112
Median peer was paid$1.03M
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2018 | 46,798 | $1.49M | |
| 2019 | 51,013 | $1.62M | |
| 2020 | 42,609 | $1.32M | |
| 2021 | 17,980 | $599K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 23,969 | 23,571 | $795K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 6,000 | 2,129 | $649K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 25,738 | 25,364 | $606K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 6,233 | 3,756 | $363K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 16,904 | 16,645 | $341K |
| D1206 | Topical application of fluoride varnish | 5.1% | 12,788 | 12,566 | $258K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 9,066 | 8,722 | $254K |
| D1110 | Prophylaxis - adult | 5.0% | 6,092 | 5,999 | $252K |
| D0272 | Bitewings - two radiographic images | 4.6% | 13,187 | 12,961 | $231K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 3,716 | 1,993 | $214K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.8% | 2,701 | 1,348 | $192K |
| D1351 | Sealant - per tooth | 3.5% | 6,392 | 2,054 | $173K |
11 more codes
| D0330 | Panoramic radiographic image | 2.6% | 2,886 | $130K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 4,180 | $118K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 7,043 | $86K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 1,222 | $83K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 892 | $71K |
| D0274 | Bitewings - four radiographic images | 1.2% | 2,207 | $59K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,051 | $44K |
| D9248 | <1% | 514 | $42K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,382 | $41K |
| D2332 | <1% | 173 | $14K | |
| D2330 | <1% | 64 | $3K |
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 officialSWAUGER, KURT (OWNER OF PRACTICE)