Knoxville Pediatric Dentistry, PLLC — Billing Profile & Reimbursement Data
NPI 1447418736 · Knoxville, TN · General Practice Dentistry
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Knoxville Pediatric Dentistry, PLLC is a general practice dentistry provider located in Knoxville, Tennessee. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Knoxville Pediatric Dentistry, PLLC |
| Address | 705 Gate Lane |
| City | Knoxville |
| State | TN |
| ZIP | 37909 |
| Taxonomy | General Practice Dentistry |
| NPI Enumerated | May 23, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.2M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2930 | N/A | 18,160 | $100 | $1.9M |
| D1120 | Prophylaxis–child | 55,420 | $30 | $1.8M |
| D0120 | Periodic oral evaluation - established patient | 58,660 | $20 | $1.3M |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 57,490 | $20 | $1.1M |
| D2392 | Post 2 surface resin‑based composite | 8,910 | $70 | $605.8K |
| D2391 | Resin‑based composite – one surface, posterior | 8,970 | $60 | $511.5K |
| D9230 | N/A | 19,440 | $30 | $505.4K |
| D3220 | N/A | 6,420 | $80 | $481.5K |
| D0150 | Comprehensive oral evaluation – new or established patient | 13,890 | $30 | $388.9K |
| D0330 | N/A | 10,160 | $40 | $365.7K |
Showing 1–10 of 24
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 8 | 160 | 770 | $110 | $399.1K |
| D3220 | N/A | 9 | 110 | 610 | $80 | $167.4K |
| D1120 | Prophylaxis–child | 7 | 660 | 720 | $30 | $135.9K |
| D9248 | N/A | 17 | 90 | 450 | $80 | $116.4K |
| D2392 | Post 2 surface resin‑based composite | 16 | 470 | 450 | $70 | $107K |
| D0120 | Periodic oral evaluation - established patient | 9 | 720 | 980 | $20 | $106.4K |
| D2934 | N/A | 8 | 10 | 190 | $110 | $92.2K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 27 | 370 | 350 | $60 | $82.8K |
| D2140 | Amalgam - one surface, primary or permanent | 47 | 80 | 230 | $60 | $78.1K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 7 | 650 | 730 | $20 | $72.1K |
Showing 1–10 of 24
Nearby Providers
Other providers in the same ZIP code as Knoxville Pediatric Dentistry, PLLC, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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