Lumberton Dental Clinic PA

Lumberton Dental Clinic PA was paid $2K by Medicaid between Apr 2021 and Aug 2021, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 77% of everything it billed.

33Billing provider infoLUMBERTON DENTAL CLINIC PA
LUMBERTON, MS 39455

33aNPI1982726824assigned 04/04/2007

33bProvider typeDentist

28Total paid$2K

24GClaims57

24DCodes billed2

24AFirst – last monthApr 2021 – Aug 2021

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#237 of 261

Median peer was paid$64K

This provider vs. median0.0×

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	57	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	77%	44	44	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	13	13	$355.58

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 officialVANN, WILLIAM (GENERAL DENTIST PRESIDENT)