Dental
The Dental Clinic
The Dental Clinic was paid $4K by Medicaid between Jan 2018 and May 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.
33Billing provider infoTHE DENTAL CLINIC
NORTH LITTLE ROCK, AR 72114
NORTH LITTLE ROCK, AR 72114
33aNPI1306100136assigned 06/26/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims259
24DCodes billed4
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#331 of 401
Median peer was paid$36K
This provider vs. median0.1×
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 | 233 | $4K | |
| 2019 | 26 | $615.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 57% | 138 | 132 | $2K |
| D0272 | Bitewings - two radiographic images | 27% | 96 | 91 | $1K |
| D1110 | Prophylaxis - adult | 14% | 12 | 12 | $561.40 |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 13 | 13 | $99.75 |
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 officialJOLLY, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pershing Dental Clinic | North Little Rock, AR | $5.48M |
| Dumas Family Dental Center LLC | Dumas, AR | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.