Northeast Arkansas Pediatric Dentistry PLLC

Northeast Arkansas Pediatric Dentistry PLLC was paid $2K by Medicaid between Mar 2021 and May 2021, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 40% of everything it billed.

33Billing provider infoNORTHEAST ARKANSAS PEDIATRIC DENTISTRY PLLC
PARAGOULD, AR 72450

33aNPI1215541271assigned 09/06/2020

33bProvider typePediatric Dentist

28Total paid$2K

24GClaims78

24DCodes billed5

24AFirst – last monthMar 2021 – May 2021

Compared with peers

Next to other Pediatric Dentist providers in Arkansas

Rank by total paid#56 of 60

Median peer was paid$1.02M

This provider vs. median0.0×

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
2021	78	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	40%	26	26	$819.60
D1120	Dental cleaning, childProphylaxis - child	19%	13	13	$397.10
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	18%	15	12	$363.10
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	12	12	$239.40
D1206	Topical application of fluoride varnish	11%	12	12	$219.45

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 officialHIEGERT, KATHRYN (OWNER)