Dental
Cleveland Dental Clinic
Cleveland Dental Clinic was paid $631K by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 24% of everything it billed.
33Billing provider infoCLEVELAND DENTAL CLINIC
CLEVELAND, MS 38732
CLEVELAND, MS 38732
33aNPI1891951729assigned 07/30/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$631K
24GClaims20,167
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#54 of 379
Median peer was paid$78K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2018 | 2,007 | $35K | |
| 2019 | 1,918 | $74K | |
| 2020 | 1,695 | $56K | |
| 2021 | 6,036 | $182K | |
| 2022 | 6,027 | $212K | |
| 2023 | 1,862 | $50K | |
| 2024incomplete | 622 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 24% | 2,344 | 827 | $154K |
| D0140 | Limited oral evaluation - problem focused | 18% | 3,847 | 3,208 | $114K |
| D1351 | Sealant - per tooth | 18% | 4,739 | 415 | $111K |
| D0330 | Panoramic radiographic image | 16% | 2,614 | 2,237 | $99K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 684 | 646 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 1,421 | 1,191 | $31K |
| D1206 | Topical application of fluoride varnish | 3.6% | 1,144 | 1,058 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 789 | 640 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 612 | 563 | $13K |
| D0272 | Bitewings - two radiographic images | 1.4% | 732 | 592 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,109 | 827 | $9K |
| D7250 | <1% | 50 | 14 | $3K |
3 more codes
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 officialABOUMONZER, SALAH (OWNER)