Dental
Arkansas Dental Professionals Mongrain PA
Arkansas Dental Professionals Mongrain PA was paid $81K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoARKANSAS DENTAL PROFESSIONALS MONGRAIN PA
FORT SMITH, AR 72903
FORT SMITH, AR 72903
33aNPI1225179088assigned 02/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$81K
24GClaims3,620
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#141 of 401
Median peer was paid$36K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2018 | 48 | $763.63 | |
| 2019 | 235 | $5K | |
| 2020 | 344 | $9K | |
| 2021 | 506 | $11K | |
| 2022 | 1,288 | $29K | |
| 2023 | 896 | $20K | |
| 2024incomplete | 303 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 487 | 461 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 888 | 843 | $21K |
| D1206 | Topical application of fluoride varnish | 14% | 624 | 614 | $11K |
| D0272 | Bitewings - two radiographic images | 9.2% | 355 | 345 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 423 | 420 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.9% | 544 | 347 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 222 | 189 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 61 | 61 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 16 | 16 | $1K |
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 officialKUHL, MARIE (DIRECTOR OF DENTAL INSURANCE)