Dental
Main Street Dental, PLLC
Main Street Dental, PLLC was paid $3K by Medicaid between Jul 2024 and Aug 2024, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 47% of everything it billed.
33Billing provider infoMAIN STREET DENTAL, PLLC
MANNINGTON, WV 26582
MANNINGTON, WV 26582
33aNPI1720843444assigned 02/21/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims90
24DCodes billed4
24AFirst – last monthJul 2024 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#151 of 193
Median peer was paid$44K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 90 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 47% | 37 | 36 | $1K |
| D0274 | Bitewings - four radiographic images | 22% | 15 | 15 | $610.50 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 23 | 22 | $577.50 |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 15 | 15 | $330.00 |
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 officialHAMRICK, COURTNEY (DENTIST/OWNER)