Booneville General Dentistry, P.A.

Booneville General Dentistry, P.A. was paid $39K by Medicaid between Apr 2021 and Jul 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.

33Billing provider infoBOONEVILLE GENERAL DENTISTRY, P.A.
BOONEVILLE, MS 38829

33aNPI1881073716assigned 05/26/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims1,598

24DCodes billed6

24AFirst – last monthApr 2021 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#228 of 379

Median peer was paid$78K

This provider vs. median0.5×

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
2021	348	$8K
2022	610	$13K
2023	422	$11K
2024incomplete	218	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	44%	616	564	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	498	452	$13K
D1208	Topical application of fluoride, excluding varnish	17%	416	380	$7K
D0274	Bitewings - four radiographic images	3.2%	39	38	$1K
D0140	Limited oral evaluation - problem focused	1.1%	14	12	$442.03
D1206	Topical application of fluoride varnish	<1%	15	14	$361.82

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 officialHALL, SAMUEL (PRES)