Clinic
Smoky Mountain Pediatric Dentistry, PLLC
Smoky Mountain Pediatric Dentistry, PLLC was paid $2.35M by Medicaid between Nov 2021 and Sep 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoSMOKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC
LENOIR CITY, TN 37772
LENOIR CITY, TN 37772
33aNPI1871916668assigned 01/29/2014
33bProvider typeDental Clinic/Center
28Total paid$2.35M
24GClaims75,437
24DCodes billed23
24AFirst – last monthNov 2021 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#4 of 40
Median peer was paid$259K
This provider vs. median9.1×
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 | |
|---|---|---|---|
| 2021 | 2,593 | $79K | |
| 2022 | 30,888 | $983K | |
| 2023 | 30,769 | $936K | |
| 2024incomplete | 11,187 | $349K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 14,140 | 13,751 | $467K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 12,661 | 12,292 | $305K |
| D1206 | Topical application of fluoride varnish | 13% | 14,058 | 13,673 | $294K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 2,815 | 1,115 | $289K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 3,101 | 1,623 | $211K |
| D1351 | Sealant - per tooth | 5.1% | 4,099 | 1,309 | $119K |
| D9248 | 4.5% | 1,253 | 1,203 | $106K | |
| D0272 | Bitewings - two radiographic images | 3.6% | 4,975 | 4,843 | $85K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 1,463 | 755 | $81K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 1,258 | 903 | $73K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 2,294 | 2,213 | $66K |
| D0330 | Panoramic radiographic image | 2.7% | 1,424 | 1,375 | $62K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 1,792 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,933 | $34K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 472 | $34K |
| D1354 | 1.2% | 3,337 | $29K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,606 | $20K |
| D0140 | Limited oral evaluation - problem focused | <1% | 555 | $12K |
| D2332 | <1% | 102 | $6K | |
| D1110 | Prophylaxis - adult | <1% | 54 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $293.15 |
| D0270 | <1% | 20 | $152.10 | |
| D9420 | 0% | 12 | $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 officialMALONE, KATHERINE (PEDIATRIC DENTIST)