Medicaid Provider Spending

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

JOHN PARDO, DDS , PLLC

NPI: 1093463424 · PRAIRIE GROVE, AR 72753 · Dental Clinic/Center · NPI assigned 03/15/2022

$14K
Total Medicaid Paid
487
Total Claims
473
Beneficiaries
8
Codes Billed
2022-05
First Month
2023-03
Last Month

Provider Details

Authorized OfficialPARDO, JOHN (OWNER DENTIST)
NPI Enumeration Date03/15/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 368 $11K
2023 119 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 196 195 $5K
D1110 Prophylaxis - adult 88 87 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 75 65 $2K
D0210 Intraoral - complete series of radiographic images 14 14 $1K
D1120 Prophylaxis - child 28 28 $882.50
D1208 Topical application of fluoride, excluding varnish 33 33 $578.55
D0220 Intraoral - periapical first radiographic image 38 37 $541.50
D1206 Topical application of fluoride varnish 15 14 $241.08