Clinic
Sequoyah Dental, PLLC
Sequoyah Dental, PLLC was paid $62K by Medicaid between Jun 2019 and Mar 2022, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoSEQUOYAH DENTAL, PLLC
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
33aNPI1295373322assigned 12/19/2019
33bProvider typeDental Clinic/Center
28Total paid$62K
24GClaims2,486
24DCodes billed14
24AFirst – last monthJun 2019 – Mar 2022
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#50 of 117
Median peer was paid$43K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 85 | $2K | |
| 2020 | 25 | $585.20 | |
| 2021 | 2,110 | $53K | |
| 2022 | 266 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 333 | 323 | $15K |
| D0140 | Limited oral evaluation - problem focused | 19% | 465 | 417 | $12K |
| D1206 | Topical application of fluoride varnish | 10% | 347 | 339 | $6K |
| D0272 | Bitewings - two radiographic images | 10.0% | 260 | 254 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 9.1% | 329 | 313 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 197 | 193 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 273 | 261 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 44 | 27 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 89 | 85 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.0% | 23 | 16 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 13 | 13 | $1K |
| D0602 | <1% | 57 | 43 | $90.00 |
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 officialWILSON, WILLIAM (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Legacy Healthcare Services, INC | Raleigh, NC | $238K |
| Legacy Healthcare Services, INC. | Durham, NC | $101K |
| Fairhope Dental Associates LLC | Fairhope, AL | $60K |
| Community EMS District | Garrettsville, OH | $11K |
| Legacy Healthcare Services INC. | Denver, CO | $0.00 |
| Legacy Healthcare Services INC | Franklin, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.