Dental
Northwest Arkansas Pediatric Dental Center
Northwest Arkansas Pediatric Dental Center was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoNORTHWEST ARKANSAS PEDIATRIC DENTAL CENTER
ROGERS, AR 72758
ROGERS, AR 72758
33aNPI1033155411assigned 06/22/2006
33bProvider typePediatric Dentist
28Total paid$2.48M
24GClaims101,423
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#18 of 60
Median peer was paid$1.02M
This provider vs. median2.4×
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 | 18,033 | $494K | |
| 2019 | 13,964 | $323K | |
| 2020 | 12,570 | $294K | |
| 2021 | 13,691 | $334K | |
| 2022 | 15,611 | $370K | |
| 2023 | 13,890 | $345K | |
| 2024incomplete | 13,664 | $319K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 16,536 | 15,501 | $404K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 11,091 | 10,357 | $358K |
| D1206 | Topical application of fluoride varnish | 12% | 16,162 | 15,142 | $287K |
| D0272 | Bitewings - two radiographic images | 10% | 11,149 | 10,434 | $249K |
| D0240 | 9.9% | 10,725 | 5,036 | $245K | |
| D1110 | Prophylaxis - adult | 9.3% | 5,191 | 4,914 | $230K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.5% | 1,174 | 298 | $160K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.4% | 1,477 | 707 | $109K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 3,811 | 3,346 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 1,036 | 548 | $71K |
| D9248 | 2.6% | 759 | 698 | $65K | |
| D0603 | 2.4% | 15,485 | 14,633 | $59K |
12 more codes
| D0330 | Panoramic radiographic image | 1.9% | 892 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,054 | $34K |
| D0140 | Limited oral evaluation - problem focused | <1% | 727 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,504 | $19K |
| D1351 | Sealant - per tooth | <1% | 352 | $9K |
| D2160 | <1% | 88 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 114 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 26 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 73 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 32 | $2K |
| D0602 | <1% | 303 | $1K | |
| D9215 | 0% | 662 | $0.00 |
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 officialRHODES, JEFFREY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Smile Shoppes Jeffrey D Rhodes DDS MS PLLC | Springdale, AR | $2.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.