Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › LITTLE ROCK › CANTRELL FAMILY DENTAL CENTER

CANTRELL FAMILY DENTAL CENTER

NPI: 1215443577 · LITTLE ROCK, AR 72227 · General Practice Dentistry · NPI assigned 12/22/2017

$4K
Total Medicaid Paid
151
Total Claims
151
Beneficiaries
5
Codes Billed
2020-06
First Month
2020-07
Last Month

Provider Details

Authorized OfficialMATONE, CHAD (OWNER/DENTIST)
NPI Enumeration Date12/22/2017

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
CHAD MATONE DENTAL SERVICES, P.L.L.C. BENTON AR $17K
PINE BLUFF DENTAL CENTER, PLLC PINE BLUFF AR $11K
MONTICELLO DENTAL CENTER PLLC MONTICELLO AR $9K
CHAD MATONE DENTAL SERVICES,P.L.L.C. NORTH LITTLE ROCK AR $212.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 151 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 40 40 $2K
D0272 Bitewings - two radiographic images 33 33 $765.70
D0120 Periodic oral evaluation - established patient 28 28 $744.80
D1206 Topical application of fluoride varnish 38 38 $718.20
D0220 Intraoral - periapical first radiographic image 12 12 $170.50