Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › BENTON › CHAD MATONE DENTAL SERVICES, P.L.L.C.

CHAD MATONE DENTAL SERVICES, P.L.L.C.

NPI: 1104294487 · BENTON, AR 72015 · General Practice Dentistry · NPI assigned 09/03/2015

$17K
Total Medicaid Paid
553
Total Claims
540
Beneficiaries
6
Codes Billed
2019-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialMATONE, CHAD (OWNER/DENTIST)
NPI Enumeration Date09/03/2015

Related Entities

Other providers sharing the same authorized official: MATONE, CHAD

ProviderCityStateTotal Paid
CONWAY DENTAL CENTER PLLC CONWAY AR $514K
CHAD D MATONE DDS PA MALVERN AR $404K
LONOKE SMILE CENTER PLLC LONOKE AR $182K
JACKSONVILLE SMILE CANTER JACKSONVILLE AR $88K
BRINKLEY SMILE CENTER, PLLC BRINKLEY AR $43K
PINE BLUFF DENTAL CENTER, PLLC PINE BLUFF AR $11K
MONTICELLO DENTAL CENTER PLLC MONTICELLO AR $9K
CANTRELL FAMILY DENTAL CENTER LITTLE ROCK AR $4K
CHAD MATONE DENTAL SERVICES,P.L.L.C. NORTH LITTLE ROCK AR $212.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $684.95
2020 133 $4K
2021 201 $6K
2022 92 $3K
2023 89 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 180 177 $8K
D0120 Periodic oral evaluation - established patient 249 243 $6K
D1208 Topical application of fluoride, excluding varnish 73 71 $1K
D0220 Intraoral - periapical first radiographic image 26 24 $395.15
D0272 Bitewings - two radiographic images 13 13 $321.10
D0274 Bitewings - four radiographic images 12 12 $247.00