Dental
Trailhead Pediatric Dentistry
Trailhead Pediatric Dentistry was paid $1.94M by Medicaid between Mar 2022 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoTRAILHEAD PEDIATRIC DENTISTRY
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1740851492assigned 07/04/2021
33bProvider typePediatric Dentist
28Total paid$1.94M
24GClaims57,772
24DCodes billed25
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#38 of 112
Median peer was paid$1.03M
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2022 | 9,112 | $299K | |
| 2023 | 20,412 | $704K | |
| 2024incomplete | 28,248 | $939K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 9,208 | 9,093 | $305K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10.0% | 1,734 | 751 | $194K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 2,607 | 1,367 | $193K |
| D1206 | Topical application of fluoride varnish | 8.5% | 7,609 | 7,547 | $165K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 6,071 | 6,011 | $150K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 4,442 | 4,371 | $129K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 1,972 | 1,183 | $121K |
| D1351 | Sealant - per tooth | 5.5% | 3,569 | 1,083 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 1,523 | 806 | $89K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 2,546 | 2,340 | $73K |
| D0330 | Panoramic radiographic image | 3.4% | 1,588 | 1,568 | $65K |
| D1110 | Prophylaxis - adult | 3.1% | 1,483 | 1,462 | $61K |
13 more codes
| D9248 | 2.9% | 710 | $57K | |
| D0272 | Bitewings - two radiographic images | 2.8% | 3,259 | $54K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.8% | 658 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 2,031 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 2,470 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,533 | $22K |
| D0274 | Bitewings - four radiographic images | <1% | 741 | $19K |
| D0140 | Limited oral evaluation - problem focused | <1% | 631 | $13K |
| D9110 | <1% | 142 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 32 | $3K |
| D2330 | <1% | 44 | $3K | |
| D1510 | <1% | 16 | $2K | |
| D1354 | <1% | 153 | $2K |
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 officialSHADBURNE, JONATHAN (PEDIATRIC DENTIST)