ARKANSAS RIVER VALLEY DENTISTRY
NPI: 1174768758
· CLARKSVILLE, AR 72830
· Dental Clinic/Center
· NPI assigned 12/10/2008
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | COOK, JAMES (OWNER) |
| NPI Enumeration Date | 12/10/2008 |
Related Entities
Other providers sharing the same authorized official: COOK, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
80 |
$2K |
| 2019 |
971 |
$23K |
| 2020 |
1,163 |
$32K |
| 2021 |
725 |
$18K |
| 2022 |
454 |
$12K |
| 2023 |
975 |
$27K |
| 2024 |
307 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
877 |
864 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
1,475 |
1,444 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,431 |
1,398 |
$26K |
| D0272 |
Bitewings - two radiographic images |
797 |
785 |
$17K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
32 |
12 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
38 |
34 |
$857.49 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$693.76 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$386.90 |