Dental
Pediatric Dentistry of Ridgeland, PLLC
Pediatric Dentistry of Ridgeland, PLLC was paid $147K by Medicaid between Feb 2020 and Nov 2023, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF RIDGELAND, PLLC
RIDGELAND, MS 39157
RIDGELAND, MS 39157
33aNPI1902456247assigned 09/18/2019
33bProvider typePediatric Dentist
28Total paid$147K
24GClaims5,953
24DCodes billed13
24AFirst – last monthFeb 2020 – Nov 2023
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#63 of 81
Median peer was paid$580K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 1,927 | $47K | |
| 2021 | 2,637 | $66K | |
| 2022 | 927 | $21K | |
| 2023 | 462 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 1,576 | 1,454 | $42K |
| D1206 | Topical application of fluoride varnish | 22% | 1,456 | 1,336 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,143 | 1,048 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 415 | 394 | $12K |
| D1351 | Sealant - per tooth | 5.9% | 378 | 81 | $9K |
| D0272 | Bitewings - two radiographic images | 5.6% | 434 | 395 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 71 | 43 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 64 | 27 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 226 | 191 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 71 | 71 | $989.86 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 85 | 71 | $908.91 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $541.70 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21 | $215.46 |
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 officialGREEN, TIFFANY (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Green Haven Adult Day Program LLC | Hazelwood, MO | $27K |
| Harperco LLC | Clearwater, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.