Clinic
West Memphis Pediatric Dentistry
West Memphis Pediatric Dentistry was paid $574K by Medicaid between Jan 2018 and Dec 2021, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoWEST MEMPHIS PEDIATRIC DENTISTRY
MARION, AR 72364
MARION, AR 72364
33aNPI1154863637assigned 11/15/2016
33bProvider typeDental Clinic/Center
28Total paid$574K
24GClaims20,783
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#15 of 117
Median peer was paid$43K
This provider vs. median13×
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 | 1,877 | $48K | |
| 2019 | 6,291 | $167K | |
| 2020 | 6,361 | $181K | |
| 2021 | 6,254 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,982 | 3,840 | $102K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,588 | 2,498 | $88K |
| D0272 | Bitewings - two radiographic images | 12% | 2,952 | 2,847 | $66K |
| D1110 | Prophylaxis - adult | 11% | 1,309 | 1,267 | $60K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 3,085 | 3,010 | $60K |
| D1351 | Sealant - per tooth | 6.4% | 1,383 | 381 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.1% | 1,447 | 1,254 | $35K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.0% | 438 | 240 | $34K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 326 | 323 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 286 | 171 | $19K |
| D1206 | Topical application of fluoride varnish | 2.8% | 843 | 778 | $16K |
| D2140 | 1.3% | 117 | 83 | $7K |
8 more codes
| D0601 | <1% | 1,166 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 88 | $5K |
| D0330 | Panoramic radiographic image | <1% | 125 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 16 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 100 | $2K |
| D0602 | <1% | 304 | $1K | |
| D0603 | <1% | 203 | $975.68 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $732.40 |
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 officialBURROWS, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Marion Pediatric Dentistry, PLLC | Marion, AR | $6.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.