HIGGINBOTHAM DENTAL GROUP, PLLC
NPI: 1205211976
· JONESBORO, AR 72405
· General Practice Dentistry
· NPI assigned 07/23/2015
$275K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSS, MISTI (INSURANCE DIRECTOR) |
| NPI Enumeration Date | 07/23/2015 |
Related Entities
Other providers sharing the same authorized official: ROSS, MISTI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
375 |
$10K |
| 2019 |
230 |
$4K |
| 2020 |
1,009 |
$24K |
| 2021 |
1,814 |
$45K |
| 2022 |
2,519 |
$69K |
| 2023 |
2,181 |
$61K |
| 2024 |
2,364 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,596 |
1,507 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
2,727 |
2,579 |
$67K |
| D1206 |
Topical application of fluoride varnish |
2,832 |
2,678 |
$51K |
| D0272 |
Bitewings - two radiographic images |
2,128 |
2,014 |
$44K |
| D1120 |
Prophylaxis - child |
769 |
737 |
$26K |
| D0210 |
Intraoral - complete series of radiographic images |
156 |
149 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
216 |
203 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
54 |
51 |
$2K |
| D0330 |
Panoramic radiographic image |
14 |
12 |
$125.40 |