Clinic
River Valley Primary Care Services INC
River Valley Primary Care Services INC was paid $208K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoRIVER VALLEY PRIMARY CARE SERVICES INC
RATCLIFF, AR 72951
RATCLIFF, AR 72951
33aNPI1225296619assigned 06/02/2008
33bProvider typeDental Clinic/Center
28Total paid$208K
24GClaims7,389
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#27 of 117
Median peer was paid$43K
This provider vs. median4.9×
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 | 668 | $18K | |
| 2019 | 276 | $7K | |
| 2020 | 673 | $17K | |
| 2021 | 1,305 | $35K | |
| 2022 | 1,329 | $40K | |
| 2023 | 1,678 | $49K | |
| 2024incomplete | 1,460 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 1,416 | 1,375 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,223 | 2,125 | $54K |
| D0272 | Bitewings - two radiographic images | 20% | 1,855 | 1,813 | $41K |
| D1206 | Topical application of fluoride varnish | 11% | 1,268 | 1,234 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 481 | 467 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 119 | 38 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 27 | 27 | $2K |
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 officialWHITE, JERRY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| River Valley Primary Care Services | Fort Smith, AR | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.