Dental
Tiny Teeth of Tally PLLC
Tiny Teeth of Tally PLLC was paid $996K by Medicaid between Feb 2019 and Dec 2024, across 28 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoTINY TEETH OF TALLY PLLC
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
33aNPI1891225512assigned 06/14/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$996K
24GClaims60,766
24DCodes billed28
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#30 of 568
Median peer was paid$24K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2019 | 581 | $0.00 | |
| 2020 | 406 | $0.00 | |
| 2021 | 4,139 | $71K | |
| 2022 | 24,750 | $414K | |
| 2023 | 18,904 | $296K | |
| 2024incomplete | 11,986 | $216K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 5,181 | 5,137 | $428K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 5,584 | 5,513 | $102K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 868 | 525 | $84K |
| D1110 | Prophylaxis - adult | 7.8% | 1,081 | 1,069 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 416 | 413 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 520 | 289 | $35K |
| D0330 | Panoramic radiographic image | 2.9% | 529 | 523 | $29K |
| D1206 | Topical application of fluoride varnish | 2.7% | 6,654 | 6,573 | $27K |
| D9999 | Unspecified adjunctive procedure, by report | 2.3% | 382 | 373 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 445 | 282 | $22K |
| D0240 | 1.9% | 864 | 711 | $19K | |
| D1354 | 1.7% | 5,278 | 1,057 | $17K |
16 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 57 | $17K |
| D0272 | Bitewings - two radiographic images | 1.3% | 4,472 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 1,079 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 257 | $12K |
| D1351 | Sealant - per tooth | <1% | 1,913 | $8K |
| D9920 | <1% | 189 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,926 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,940 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 1,063 | $3K |
| D1330 | <1% | 6,649 | $3K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 103 | $2K |
| D0603 | <1% | 2,774 | $259.01 | |
| D0601 | <1% | 1,319 | $103.00 | |
| D0602 | <1% | 817 | $76.00 | |
| D9992 | 0% | 179 | $0.00 | |
| D9995 | 0% | 227 | $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 officialGONZALEZ, ASTRID (OWNER)