Dental
Kids Dental Center, GP
Kids Dental Center, GP was paid $3.08M by Medicaid between Jul 2021 and Dec 2024, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoKIDS DENTAL CENTER, GP
CLEVELAND, TN 37312
CLEVELAND, TN 37312
33aNPI1932789880assigned 04/13/2021
33bProvider typePediatric Dentist
28Total paid$3.08M
24GClaims111,350
24DCodes billed32
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#31 of 112
Median peer was paid$1.03M
This provider vs. median3.0×
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 | 9,857 | $251K | |
| 2022 | 22,640 | $690K | |
| 2023 | 33,263 | $913K | |
| 2024incomplete | 45,590 | $1.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 14,113 | 13,525 | $462K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 5,491 | 3,107 | $383K |
| D1206 | Topical application of fluoride varnish | 11% | 17,029 | 16,338 | $349K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 13,454 | 12,867 | $320K |
| D1351 | Sealant - per tooth | 6.0% | 6,822 | 2,056 | $186K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 6,511 | 6,019 | $184K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 2,973 | 1,745 | $175K |
| D1110 | Prophylaxis - adult | 3.7% | 2,722 | 2,628 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 3,809 | 3,673 | $106K |
| D0272 | Bitewings - two radiographic images | 3.0% | 5,624 | 5,399 | $93K |
| D1354 | 3.0% | 9,949 | 2,510 | $92K | |
| D0330 | Panoramic radiographic image | 2.9% | 2,289 | 2,175 | $90K |
20 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 1,067 | $84K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 1,537 | $75K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 6,075 | $73K |
| D2394 | 1.9% | 705 | $58K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 478 | $50K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 5,399 | $49K |
| D0274 | Bitewings - four radiographic images | 1.5% | 1,924 | $48K |
| D1353 | <1% | 1,282 | $28K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 875 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 479 | $12K |
| D2330 | <1% | 164 | $10K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 95 | $6K |
| D2335 | <1% | 68 | $5K | |
| D2332 | <1% | 58 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 45 | $3K |
| D2940 | <1% | 57 | $2K | |
| D1352 | <1% | 59 | $1K | |
| D3110 | <1% | 14 | $80.34 | |
| D3120 | <1% | 13 | $39.14 | |
| D7111 | 0% | 170 | $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 officialESLINGER, CHAD (PEDIATRIC DENTIST)