TN Specialty Dental Services, PLLC
TN Specialty Dental Services, PLLC was paid $848K by Medicaid between Sep 2024 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
KNOXVILLE, TN 37909
Next to other Pediatric Dentist providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 28,462 | $848K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 4,098 | 4,085 | $141K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 1,125 | 450 | $131K |
| D1206 | Topical application of fluoride varnish | 11% | 4,225 | 4,190 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 3,374 | 3,336 | $83K |
| D1351 | Sealant - per tooth | 6.2% | 1,665 | 505 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,529 | 1,529 | $46K |
| D0330 | Panoramic radiographic image | 5.1% | 1,012 | 1,000 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 573 | 405 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 1,129 | 1,017 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 445 | 335 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 456 | 258 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 3,108 | 1,050 | $27K |
9 more codes
| D0272 | Bitewings - two radiographic images | 2.9% | 1,525 | $25K |
| D1110 | Prophylaxis - adult | 2.1% | 403 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 1,405 | $17K |
| D1354 | 1.8% | 1,607 | $15K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 125 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 334 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 274 | $6K |
| D9987 | 0% | 12 | $0.00 | |
| D3120 | 0% | 38 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.