Dental
Peach Dental Care
Peach Dental Care was paid $130K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 21% of everything it billed.
33Billing provider infoPEACH DENTAL CARE
CLARKSTON, GA 30021
CLARKSTON, GA 30021
33aNPI1942331772assigned 03/07/2007
33bProvider typeDentist
28Total paid$130K
24GClaims7,625
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Georgia
Rank by total paid#18 of 55
Median peer was paid$64K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2018 | 1,678 | $27K | |
| 2019 | 1,654 | $25K | |
| 2020 | 946 | $15K | |
| 2021 | 602 | $12K | |
| 2022 | 661 | $13K | |
| 2023 | 1,377 | $27K | |
| 2024incomplete | 707 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 21% | 2,053 | 1,267 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 978 | 969 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,206 | 1,196 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,127 | 1,118 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 1,430 | 1,405 | $16K |
| D0330 | Panoramic radiographic image | 7.6% | 221 | 205 | $10K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 316 | 289 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 131 | 129 | $3K |
| D0272 | Bitewings - two radiographic images | 1.8% | 123 | 120 | $2K |
| D1110 | Prophylaxis - adult | <1% | 40 | 39 | $1K |
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 officialVU, THU (DDS)