South Delta Dental Clinic, LLC
South Delta Dental Clinic, LLC was paid $276K by Medicaid between Jul 2018 and Oct 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
ROLLING FORK, MS 39159
Next to other General Practice Dentistry providers in Mississippi
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,679 | $17K | |
| 2019 | 1,704 | $49K | |
| 2020 | 1,074 | $28K | |
| 2021 | 1,972 | $58K | |
| 2022 | 1,987 | $64K | |
| 2023 | 1,021 | $32K | |
| 2024incomplete | 917 | $29K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,507 | 2,136 | $65K |
| D1206 | Topical application of fluoride varnish | 20% | 2,504 | 2,148 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,356 | 1,275 | $36K |
| D0330 | Panoramic radiographic image | 9.5% | 692 | 643 | $26K |
| D0274 | Bitewings - four radiographic images | 8.5% | 1,163 | 923 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 880 | 598 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 171 | 94 | $18K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 498 | 428 | $17K |
| D1351 | Sealant - per tooth | 3.8% | 358 | 77 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 225 | 208 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Independent Living Resource Center | Littleton, CO | $958K |
| Murphy Medical Supply LLC | Eupora, MS | $695K |
| Orthoptic's INC. | Metairie, LA | $551K |
| Murphy Medical Supply LLC | Starkville, MS | $431K |
| Stillwater Counseling LLC | Taos, NM | $295K |
| Indiana Skin Cancer Center PC | Greenwood, IN | $149K |
| Macphersons LTD | Harlingen, TX | $80K |
| ST. Clair Reorganized District R-Xiii | Saint Clair, MO | $61K |
| Advanced Diagnostic Imaging, PLLC | Exeter, NH | $45K |
| Michael A. Murphy M.D., P.C. | Newport News, VA | $32K |
| Richland Chiropractic Clinic | Richland Center, WI | $3K |
| Sharp Healthcare | San Diego, CA | $2K |
| Mississippi Discount Drugs LLC | Canton, MS | $0.00 |
| Alternate Health Labs, INC. | San Antonio, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.