Dental
Booneville Family Dental, PLLC
Booneville Family Dental, PLLC was paid $147K by Medicaid between Jan 2018 and May 2020, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoBOONEVILLE FAMILY DENTAL, PLLC
BOONEVILLE, AR 72927
BOONEVILLE, AR 72927
33aNPI1376081588assigned 02/08/2017
33bProvider typeDentist
28Total paid$147K
24GClaims5,049
24DCodes billed13
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#56 of 211
Median peer was paid$44K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 2,775 | $84K | |
| 2019 | 1,724 | $49K | |
| 2020 | 550 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 706 | 544 | $33K |
| D0272 | Bitewings - two radiographic images | 19% | 1,169 | 903 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 883 | 694 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 1,078 | 839 | $21K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.4% | 158 | 65 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 349 | 263 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 465 | 366 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 31 | 12 | $2K |
| D0330 | Panoramic radiographic image | 1.2% | 33 | 33 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 29 | 14 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 102 | 92 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 32 | 18 | $981.80 |
1 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 14 | $372.40 |
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 officialBORENGASSER, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Borengasser Family Dental, PLLC | Fort Smith, AR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.