Dental
Stanford Dental Clinic, LLC
Stanford Dental Clinic, LLC was paid $76K by Medicaid between Mar 2021 and Nov 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 46% of everything it billed.
33Billing provider infoSTANFORD DENTAL CLINIC, LLC
RIPLEY, MS 38663
RIPLEY, MS 38663
33aNPI1891258463assigned 04/10/2019
33bProvider typeDentist
28Total paid$76K
24GClaims3,360
24DCodes billed5
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#124 of 261
Median peer was paid$64K
This provider vs. median1.2×
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 | 681 | $16K | |
| 2022 | 766 | $20K | |
| 2023 | 1,060 | $22K | |
| 2024incomplete | 853 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 46% | 1,320 | 1,180 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 879 | 794 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 1,001 | 898 | $15K |
| D0330 | Panoramic radiographic image | 5.0% | 102 | 86 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 58 | 51 | $2K |
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 officialSTANFORD, STEPHEN (OWNER)