Clinic
Dixie Dental Center PSC
Dixie Dental Center PSC was paid $89K by Medicaid between Jan 2018 and Jan 2021, across 11 billing codes. Its largest line is D0330, Panoramic radiographic image — 26% of everything it billed.
33Billing provider infoDIXIE DENTAL CENTER PSC
LOUISVILLE, KY 40210
LOUISVILLE, KY 40210
33aNPI1962552042assigned 01/11/2007
33bProvider typeDental Clinic/Center
28Total paid$89K
24GClaims5,252
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Dental Clinic/Center providers in Kentucky
Rank by total paid#38 of 50
Median peer was paid$353K
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 | |
|---|---|---|---|
| 2018 | 2,786 | $43K | |
| 2019 | 1,472 | $29K | |
| 2020 | 925 | $16K | |
| 2021 | 69 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 26% | 809 | 637 | $23K |
| D0140 | Limited oral evaluation - problem focused | 26% | 862 | 712 | $23K |
| D2332 | 11% | 156 | 14 | $10K | |
| D2140 | 9.8% | 257 | 26 | $9K | |
| D0274 | Bitewings - four radiographic images | 8.6% | 511 | 348 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 1,253 | 976 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 331 | 219 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 960 | 506 | $3K |
| D1110 | Prophylaxis - adult | 1.1% | 34 | 25 | $985.54 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 29 | 12 | $545.98 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 50 | 16 | $241.05 |
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 officialFULTZ, RODNEY (SEC TREAS)