Dental
Children's Dentistry of Smyrna
Children's Dentistry of Smyrna was paid $8.24M by Medicaid between Jan 2018 and Dec 2021, across 42 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoCHILDREN'S DENTISTRY OF SMYRNA
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1730457326assigned 12/09/2011
33bProvider typePediatric Dentist
28Total paid$8.24M
24GClaims236,063
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#10 of 112
Median peer was paid$1.03M
This provider vs. median8.0×
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 | 51,888 | $2.10M | |
| 2019 | 58,571 | $2.08M | |
| 2020 | 59,686 | $1.86M | |
| 2021 | 65,918 | $2.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 11,066 | 3,675 | $1.14M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 32,392 | 31,123 | $1.04M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.6% | 10,373 | 5,423 | $705K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 30,548 | 29,419 | $700K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 30,529 | 29,361 | $582K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 8,892 | 4,219 | $498K |
| D9248 | 5.6% | 6,479 | 5,843 | $464K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.9% | 5,435 | 2,408 | $407K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.1% | 4,316 | 2,655 | $334K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 5,456 | 5,213 | $295K |
| D8670 | Periodic orthodontic treatment visit | 3.6% | 3,249 | 2,783 | $293K |
| D0272 | Bitewings - two radiographic images | 3.0% | 18,883 | 18,084 | $250K |
30 more codes
| D1110 | Prophylaxis - adult | 2.6% | 5,270 | $214K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 7,318 | $188K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 13,456 | $156K |
| D1351 | Sealant - per tooth | 1.9% | 6,334 | $154K |
| D1206 | Topical application of fluoride varnish | 1.7% | 7,025 | $138K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 5,058 | $136K |
| D0274 | Bitewings - four radiographic images | 1.3% | 5,217 | $107K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 1,516 | $83K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,732 | $59K |
| D2934 | <1% | 465 | $51K | |
| D1510 | <1% | 308 | $44K | |
| D8660 | <1% | 900 | $40K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,014 | $36K |
| D3230 | <1% | 642 | $32K | |
| D1515 | <1% | 130 | $27K | |
| D2330 | <1% | 348 | $20K | |
| D2332 | <1% | 141 | $10K | |
| D0330 | Panoramic radiographic image | <1% | 222 | $8K |
| D1517 | <1% | 29 | $6K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 38 | $3K |
| D1516 | <1% | 17 | $3K | |
| D9222 | <1% | 30 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 114 | $2K |
| D1555 | <1% | 34 | $1K | |
| D1558 | <1% | 12 | $561.60 | |
| D9610 | <1% | 24 | $539.95 | |
| D1354 | <1% | 62 | $355.63 | |
| D9420 | <1% | 622 | $180.00 | |
| D0171 | 0% | 13 | $0.00 | |
| D1999 | 0% | 6,354 | $0.00 |
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 officialALLEN, MENDY (CREDENTIALING)