Larry Vandyck DDS Holly Street Dentistry,pa

Larry Vandyck DDS Holly Street Dentistry,pa was paid $38K by Medicaid between Apr 2018 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.

33Billing provider infoLARRY VANDYCK DDS HOLLY STREET DENTISTRY,PA
SILOAM SPRINGS, AR 72761

33aNPI1083043905assigned 11/01/2013

33bProvider typeDentist

28Total paid$38K

24GClaims1,574

24DCodes billed7

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#115 of 211

Median peer was paid$44K

This provider vs. median0.9×

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	60	$2K
2019	52	$1K
2020	99	$3K
2021	159	$4K
2022	397	$10K
2023	428	$12K
2024incomplete	379	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	43%	680	660	$16K
D1206	Topical application of fluoride varnish	28%	588	572	$11K
D1110	Prophylaxis - adult	24%	223	212	$9K
D0210	Intraoral - complete series of radiographic images	1.8%	12	12	$691.60
D1208	Topical application of fluoride, excluding varnish	1.6%	31	31	$598.50
D1120	Dental cleaning, childProphylaxis - child	1.1%	12	12	$413.20
D0220	Intraoral - periapical first radiographic image	<1%	28	27	$300.50

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 officialVANDYCK, LARRY (OWNER/DENTIST)