Clinic
Purple Tooth Dental
Purple Tooth Dental was paid $11K by Medicaid between Apr 2022 and May 2023, across 6 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 70% of everything it billed.
33Billing provider infoPURPLE TOOTH DENTAL
MT HOLLY, NC 28120
MT HOLLY, NC 28120
33aNPI1841955945assigned 11/03/2021
33bProvider typeDental Clinic/Center
28Total paid$11K
24GClaims166
24DCodes billed6
24AFirst – last monthApr 2022 – May 2023
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#88 of 105
Median peer was paid$224K
This provider vs. median0.0×
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 | 53 | $2K | |
| 2023 | 113 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 70% | 77 | 75 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 20 | 20 | $933.00 |
| D0340 | 8.2% | 18 | 17 | $876.64 | |
| D0470 | 6.7% | 18 | 17 | $715.68 | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 16 | 16 | $398.44 |
| D1206 | Topical application of fluoride varnish | 2.5% | 17 | 17 | $268.48 |
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 officialMANCINI, ANDY (CEO)
| Provider | Location | Paid |
|---|---|---|
| LA Petite Dentistry | Hudson, WI | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.