Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN DENTAL GROUP BALD KNOB, PLLC

NPI: 1073987483 · BALD KNOB, AR 72010 · General Practice Dentistry · NPI assigned 11/23/2015

$203K
Total Medicaid Paid
5,185
Total Claims
3,688
Beneficiary Records
14
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialLITTLE, WILLIAM (OWNER/DENTIST)
NPI Enumeration Date11/23/2015

Related Entities

Other providers sharing the same authorized official: LITTLE, WILLIAM

ProviderCityStateTotal Paid
SOUTHERN DENTAL GROUP, PLLC WYNNE AR $447K
PARIS DENTAL CLINIC PLLC PARIS AR $285K
GPS NEAVILLE FAMILY DENTISTRY PLLC SEARCY AR $229K
SCOTTSBURG FAMILY DENTISTRY LLC SCOTTSBURG IN $73K
SOUTHERN DENTAL OF HILLTOP PLLC JONESBORO AR $58K
SOUTHERN DENTAL OF HOT SPRINGS PLLC HOT SPRINGS VILLAGE AR $35K
SAL DENTISTRY PLLC D/B/A FRIDDLE DENTISTRY FORT SMITH AR $19K
WILLIAM R LITTLE DDS PLLC JONESBORO AR $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 684 $18K
2019 679 $23K
2020 430 $15K
2021 598 $25K
2022 1,141 $45K
2023 1,324 $62K
2024 329 $16K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7140 Extraction, erupted tooth or exposed root 1,605 468 $111K
D0120 Periodic oral evaluation - established patient 1,327 1,128 $31K
D0140 Limited oral evaluation - problem focused 400 386 $13K
D1110 Prophylaxis - adult 267 248 $12K
D0272 Bitewings - two radiographic images 502 477 $9K
D0220 Intraoral - periapical first radiographic image 480 452 $8K
D1208 Topical application of fluoride, excluding varnish 358 309 $7K
D0210 Intraoral - complete series of radiographic images 78 75 $6K
D0330 Panoramic radiographic image 81 77 $3K
D2140 20 14 $1K
D0240 25 13 $617.50
D0150 Comprehensive oral evaluation - new or established patient 12 12 $402.80
D0230 Intraoral - periapical each additional radiographic image 14 13 $185.25
D0603 16 16 $75.00