Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › MONTICELLO › MONTICELLO DENTAL CENTER PLLC

MONTICELLO DENTAL CENTER PLLC

NPI: 1346765161 · MONTICELLO, AR 71655 · General Practice Dentistry · NPI assigned 08/14/2017

$9K
Total Medicaid Paid
479
Total Claims
309
Beneficiaries
4
Codes Billed
2018-03
First Month
2020-01
Last Month

Provider Details

Authorized OfficialMATONE, CHAD (DENTIST/OWNER)
NPI Enumeration Date08/14/2017

Related Entities

Other providers sharing the same authorized official: MATONE, CHAD

ProviderCityStateTotal Paid
CONWAY DENTAL CENTER PLLC CONWAY AR $514K
CHAD D MATONE DDS PA MALVERN AR $404K
LONOKE SMILE CENTER PLLC LONOKE AR $182K
JACKSONVILLE SMILE CANTER JACKSONVILLE AR $88K
BRINKLEY SMILE CENTER, PLLC BRINKLEY AR $43K
CHAD MATONE DENTAL SERVICES, P.L.L.C. BENTON AR $17K
PINE BLUFF DENTAL CENTER, PLLC PINE BLUFF AR $11K
CANTRELL FAMILY DENTAL CENTER LITTLE ROCK AR $4K
CHAD MATONE DENTAL SERVICES,P.L.L.C. NORTH LITTLE ROCK AR $212.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341 $6K
2019 122 $2K
2020 16 $425.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 206 124 $3K
D0120 Periodic oral evaluation - established patient 113 89 $3K
D0272 Bitewings - two radiographic images 138 81 $2K
D1110 Prophylaxis - adult 22 15 $699.62