Clinic
Nettleton Dental LLC
Nettleton Dental LLC was paid $44K by Medicaid between Oct 2022 and Nov 2024, across 8 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 34% of everything it billed.
33Billing provider infoNETTLETON DENTAL LLC
NETTLETON, MS 38858
NETTLETON, MS 38858
33aNPI1780303677assigned 08/24/2022
33bProvider typeDental Clinic/Center
28Total paid$44K
24GClaims2,069
24DCodes billed8
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#27 of 53
Median peer was paid$44K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 279 | $3K | |
| 2023 | 1,047 | $22K | |
| 2024incomplete | 743 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 34% | 424 | 361 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 274 | 238 | $7K |
| D0330 | Panoramic radiographic image | 16% | 208 | 186 | $7K |
| D1206 | Topical application of fluoride varnish | 10% | 193 | 171 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 8.4% | 733 | 422 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 108 | 79 | $3K |
| D0274 | Bitewings - four radiographic images | 4.8% | 95 | 72 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 34 | 30 | $926.08 |
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 officialGOODMAN, AMBRIE (DENTIST)