Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AR › Pine Bluff › NPI 1023277746
Dental

Jefferson Comprehensive Care System INC

Jefferson Comprehensive Care System INC was paid $28K by Medicaid between Apr 2019 and Oct 2024, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 61% of everything it billed.

33Billing provider infoJEFFERSON COMPREHENSIVE CARE SYSTEM INC
PINE BLUFF, AR 71601
33aNPI1023277746assigned 06/06/2008
33bProvider typeDentist
28Total paid$28K
24GClaims1,092
24DCodes billed5
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#126 of 211
Median peer was paid$44K
This provider vs. median0.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201949$609.90
202046$2K
2021115$3K
2022446$10K
2023362$12K
2024incomplete74$705.35
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 61% 588 548 $17K
D0220 Intraoral - periapical first radiographic image 18% 363 314 $5K
D0330 Panoramic radiographic image 14% 105 105 $4K
D0210 Intraoral - complete series of radiographic images 6.2% 24 24 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 12 12 $79.80

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 officialDAVIS, LARNELL (EXECUTIVE DIRECTOR)
Same official

Other billing entities under DAVIS, LARNELL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.