Dental
Rocky Top Pediatric Dentistry, LLC
Rocky Top Pediatric Dentistry, LLC was paid $4.61M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoROCKY TOP PEDIATRIC DENTISTRY, LLC
KNOXVILLE, TN 37922
KNOXVILLE, TN 37922
33aNPI1851756423assigned 12/23/2015
33bProvider typePediatric Dentist
28Total paid$4.61M
24GClaims145,385
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#21 of 112
Median peer was paid$1.03M
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2018 | 15,393 | $479K | |
| 2019 | 18,926 | $562K | |
| 2020 | 16,328 | $464K | |
| 2021 | 18,562 | $606K | |
| 2022 | 22,200 | $708K | |
| 2023 | 26,035 | $843K | |
| 2024incomplete | 27,941 | $948K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 24,323 | 23,747 | $793K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 24,086 | 23,519 | $565K |
| D1206 | Topical application of fluoride varnish | 12% | 27,192 | 26,583 | $559K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 4,420 | 2,979 | $481K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 5,995 | 4,873 | $354K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.7% | 10,801 | 10,070 | $310K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 3,227 | 2,639 | $229K |
| D1110 | Prophylaxis - adult | 4.3% | 4,810 | 4,702 | $200K |
| D0272 | Bitewings - two radiographic images | 4.2% | 11,260 | 10,975 | $194K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 3,123 | 2,038 | $182K |
| D0330 | Panoramic radiographic image | 3.9% | 4,131 | 4,037 | $178K |
| D1351 | Sealant - per tooth | 3.5% | 5,488 | 1,661 | $164K |
15 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 5,141 | $147K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.0% | 1,122 | $92K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,642 | $43K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,609 | $36K |
| D0274 | Bitewings - four radiographic images | <1% | 1,127 | $29K |
| D1354 | <1% | 1,876 | $18K | |
| D3240 | <1% | 254 | $14K | |
| D2330 | <1% | 183 | $11K | |
| D2332 | <1% | 89 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 121 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 69 | $621.82 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $362.85 |
| D9430 | 0% | 13 | $0.00 | |
| D1999 | 0% | 1,241 | $0.00 | |
| D9310 | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialSELLERS, LEAYNNE (OFFICE MANAGER)