Kitchens, Clovis

Kitchens, Clovis was paid $13K by Medicaid between Jan 2018 and Jul 2018, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoKITCHENS, CLOVIS
LITTLE ROCK, AR 72223

33aNPI1336298066assigned 01/10/2007

33bProvider typePediatric Dentist

28Total paid$13K

24GClaims577

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Pediatric Dentist providers in Arkansas

Rank by total paid#52 of 60

Median peer was paid$1.02M

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.

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	577	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	181	173	$5K
D1120	Dental cleaning, childProphylaxis - child	33%	133	128	$4K
D1208	Topical application of fluoride, excluding varnish	20%	150	144	$3K
D0272	Bitewings - two radiographic images	7.9%	44	44	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.6%	13	13	$345.80
D0603		2.1%	56	54	$275.00

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.