RIVER VALLEY PRIMARY CARE SERVICES · NPI 1013581644

NPI: 1013581644 · MULBERRY, AR 72947 · Dental Clinic/Center · NPI assigned 05/18/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official WHITE, JEROME controls 13+ related entities in our dataset. Read more

$292.60

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2024-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	WHITE, JEROME (CEO)
NPI Enumeration Date	05/18/2021

Related Entities

Provider	City	State	Total Paid
RIVER VALLEY PRIMARY CARE SERVICES	FORT SMITH	AR	$5.75M
RIVER VALLEY PRIMARY CARE SERVICES	RATCLIFF	AR	$1.75M
RIVER VALLEY PRIMARY CARE SERVICES	MULBERRY	AR	$1.63M
RIVER VALLEY PRIMARY CARE SERVICES	FORT SMITH	AR	$1.53M
RIVER VALLEY PRIMARY CARE SERVICES	MOUNTAINBURG	AR	$1.16M
RIVER VALLEY PRIMARY CARE SERVICES	WALDRON	AR	$1.11M
RIVER VALLEY PRIMARY CARE SERVICES	LAVACA	AR	$1.06M
RIVER VALLEY PRIMARY CARE SERVICES	CLARKSVILLE	AR	$1.02M
RIVER VALLEY PRIMARY CARE SERVICES	LAMAR	AR	$989K
RIVER VALLEY PRIMARY CARE SERVICES	BONANZA	AR	$476K
RIVER VALLEY PRIMARY CARE SERVICES	COAL HILL	AR	$334K
RIVER VALLEY PRIMARY CARE SERVICES	CLARKSVILLE	AR	$80K
RIVER VALLEY PRIMARY CARE SERVICES	LAVACA	AR	$399.00

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	12	$292.60

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	12	12	$292.60