Dental
Rainsville Pediatric Dental Village
Rainsville Pediatric Dental Village was paid $4.99M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoRAINSVILLE PEDIATRIC DENTAL VILLAGE
RAINSVILLE, AL 35986
RAINSVILLE, AL 35986
33aNPI1871976399assigned 07/01/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$4.99M
24GClaims185,517
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Alabama
Rank by total paid#7 of 293
Median peer was paid$31K
This provider vs. median163×
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 | 25,467 | $694K | |
| 2019 | 24,241 | $620K | |
| 2020 | 24,843 | $609K | |
| 2021 | 29,022 | $752K | |
| 2022 | 30,609 | $814K | |
| 2023 | 27,872 | $782K | |
| 2024incomplete | 23,463 | $717K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 19,688 | 19,501 | $550K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 26,800 | 26,500 | $498K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 6,049 | 4,005 | $475K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 27,077 | 26,777 | $392K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 5,820 | 3,778 | $368K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.2% | 3,690 | 1,646 | $359K |
| D1999 | 7.1% | 18,823 | 17,545 | $356K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 5,149 | 2,845 | $280K |
| D0272 | Bitewings - two radiographic images | 5.6% | 15,932 | 15,685 | $279K |
| D1110 | Prophylaxis - adult | 5.3% | 7,278 | 7,163 | $263K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 11,546 | 10,662 | $245K |
| D0330 | Panoramic radiographic image | 4.7% | 4,925 | 4,864 | $236K |
13 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 2,276 | $170K |
| D1351 | Sealant - per tooth | 2.1% | 4,393 | $107K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 8,038 | $89K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 7,745 | $79K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 2,823 | $69K |
| D1206 | Topical application of fluoride varnish | 1.0% | 2,485 | $51K |
| D1354 | <1% | 1,573 | $31K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 823 | $23K |
| D0274 | Bitewings - four radiographic images | <1% | 931 | $22K |
| D0240 | <1% | 1,188 | $18K | |
| D2330 | <1% | 271 | $15K | |
| D2332 | <1% | 180 | $13K | |
| D3120 | <1% | 14 | $184.80 |
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 officialMONCUS, TARA (DENTSIT/OWNER)