Dental
Southeast Family Dentistry PLLC
Southeast Family Dentistry PLLC was paid $362K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoSOUTHEAST FAMILY DENTISTRY PLLC
MC GEHEE, AR 71654
MC GEHEE, AR 71654
33aNPI1255885307assigned 08/06/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$362K
24GClaims10,918
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#55 of 401
Median peer was paid$36K
This provider vs. median10×
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 | 1,182 | $40K | |
| 2019 | 927 | $28K | |
| 2020 | 599 | $17K | |
| 2021 | 948 | $29K | |
| 2022 | 2,267 | $79K | |
| 2023 | 2,634 | $86K | |
| 2024incomplete | 2,361 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 1,808 | 1,737 | $82K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,679 | 2,544 | $67K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 651 | 622 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,199 | 2,154 | $43K |
| D0272 | Bitewings - two radiographic images | 11% | 1,830 | 1,778 | $41K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.9% | 390 | 227 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 595 | 589 | $21K |
| D2140 | 2.1% | 123 | 83 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 108 | 38 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 105 | 102 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 90 | 90 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 113 | 92 | $2K |
2 more codes
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 officialLALLY, JOHN (MBR)