Clinic
Leaf River Dental, PLLC
Leaf River Dental, PLLC was paid $224K by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 34% of everything it billed.
33Billing provider infoLEAF RIVER DENTAL, PLLC
PETAL, MS 39465
PETAL, MS 39465
33aNPI1750906707assigned 06/15/2020
33bProvider typeDental Clinic/Center
28Total paid$224K
24GClaims7,086
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#16 of 53
Median peer was paid$44K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2020 | 30 | $495.98 | |
| 2021 | 57 | $2K | |
| 2022 | 775 | $22K | |
| 2023 | 3,286 | $103K | |
| 2024incomplete | 2,938 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 34% | 1,822 | 1,658 | $75K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 1,991 | 1,776 | $57K |
| D1206 | Topical application of fluoride varnish | 16% | 1,508 | 1,379 | $36K |
| D0274 | Bitewings - four radiographic images | 6.6% | 519 | 485 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 313 | 292 | $13K |
| D0330 | Panoramic radiographic image | 4.0% | 198 | 183 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 67 | 40 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 454 | 403 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 40 | 12 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 102 | 61 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 59 | 50 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 13 | $321.62 |
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 officialMANGUM, LANTHEA (COO)
| Provider | Location | Paid |
|---|---|---|
| Delta Family Dental, PLLC | Cleveland, MS | $656K |
| Lexington Dental, PLLC | Lexington, MS | $475K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.