River Valley Primary Care Services

River Valley Primary Care Services was paid $399.00 by Medicaid between Jan 2023 and Jan 2023, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoRIVER VALLEY PRIMARY CARE SERVICES
LAVACA, AR 72941

33aNPI1285208827assigned 05/18/2021

33bProvider typeDental Clinic/Center

28Total paid$399.00

24GClaims16

24DCodes billed1

24AFirst – last monthJan 2023 – Jan 2023

Compared with peers

Next to other Dental Clinic/Center providers in Arkansas

Rank by total paid#114 of 117

Median peer was paid$43K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WHITE, JEROME controls 13+ related entities in our dataset. Read more

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
2023	16	$399.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	16	16	$399.00

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, JEROME (CEO)

Same official

Other billing entities under WHITE, JEROME

Full network →

Provider	Location	Paid
River Valley Primary Care Services	Fort Smith, AR	$5.75M
River Valley Primary Care Services	Ratcliff, AR	$1.75M
River Valley Primary Care Services	Mulberry, AR	$1.63M
River Valley Primary Care Services	Fort Smith, AR	$1.53M
River Valley Primary Care Services	Mountainburg, AR	$1.16M
River Valley Primary Care Services	Waldron, AR	$1.11M
River Valley Primary Care Services	Lavaca, AR	$1.06M
River Valley Primary Care Services	Clarksville, AR	$1.02M
River Valley Primary Care Services	Lamar, AR	$989K
River Valley Primary Care Services	Bonanza, AR	$476K
River Valley Primary Care Services	Coal Hill, AR	$334K
River Valley Primary Care Services	Clarksville, AR	$80K
River Valley Primary Care Services	Mulberry, AR	$292.60

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.