Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHEAST ARKANSAS PEDIATRIC DENTISTRY PLLC

NPI: 1215541271 · PARAGOULD, AR 72450 · Pediatric Dentist · NPI assigned 09/06/2020

$2K
Total Medicaid Paid
78
Total Claims
75
Beneficiaries
5
Codes Billed
2021-03
First Month
2021-05
Last Month

Provider Details

Authorized OfficialHIEGERT, KATHRYN (OWNER)
NPI Enumeration Date09/06/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 78 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 26 26 $819.60
D1120 Prophylaxis - child 13 13 $397.10
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 12 $363.10
D0120 Periodic oral evaluation - established patient 12 12 $239.40
D1206 Topical application of fluoride varnish 12 12 $219.45