Dental
Benton Family Dentistry
Benton Family Dentistry was paid $4K by Medicaid between Jul 2018 and Apr 2022, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.
33Billing provider infoBENTON FAMILY DENTISTRY
BENTON, AR 72015
BENTON, AR 72015
33aNPI1134646698assigned 08/25/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims127
24DCodes billed4
24AFirst – last monthJul 2018 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#335 of 401
Median peer was paid$36K
This provider vs. median0.1×
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 | 16 | $478.80 | |
| 2021 | 53 | $2K | |
| 2022 | 58 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 50% | 44 | 44 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 55 | 55 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 16 | 16 | $478.80 |
| D0272 | Bitewings - two radiographic images | 4.9% | 12 | 12 | $197.60 |
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 officialBETHEL, JUSTIN (OWNER)