Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Stevensons Dental Ark PLLC

Stevensons Dental Ark PLLC was paid $2.66M by Medicaid between Mar 2018 and Dec 2024, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.

33Billing provider infoSTEVENSONS DENTAL ARK PLLC
EL PASO, TX 79936
33aNPI1396139390assigned 03/27/2015
33bProvider typePediatric Dentist
28Total paid$2.66M
24GClaims145,047
24DCodes billed26
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#86 of 693
Median peer was paid$252K
This provider vs. median11×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018173$568.21
201936$367.17
20205,146$94K
202138,893$755K
202238,441$723K
202341,106$755K
2024incomplete21,252$334K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 13,563 13,352 $375K
D0145 Oral evaluation for a patient under three years of age 14% 2,708 2,652 $372K
D1110 Prophylaxis - adult 13% 6,408 6,341 $339K
D1120 Dental cleaning, childProphylaxis - child 9.8% 7,500 7,367 $261K
D1351 Sealant - per tooth 9.5% 9,329 2,133 $252K
D1206 Topical application of fluoride varnish 7.3% 13,719 13,507 $194K
D0274 Bitewings - four radiographic images 6.4% 5,687 5,615 $170K
D0230 Intraoral - periapical each additional radiographic image 5.2% 13,473 11,079 $139K
D0220 Intraoral - periapical first radiographic image 5.1% 12,017 11,742 $136K
D2930 Prefabricated stainless steel crown - primary tooth 4.8% 907 383 $127K
D0272 Bitewings - two radiographic images 4.6% 6,015 5,895 $122K
D9248 1.5% 366 355 $41K
14 more codes
D0330 Panoramic radiographic image 1.4% 1,594 $38K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.2% 1,253 $31K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 248 $18K
D0210 Intraoral - complete series of radiographic images <1% 223 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 142 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 137 $10K
D2140 <1% 97 $5K
D0140 Limited oral evaluation - problem focused <1% 111 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 42 $1K
D1208 Topical application of fluoride, excluding varnish <1% 12 $213.72
D1330 <1% 16,205 $0.06
D0603 0% 17,002 $0.00
D1310 0% 16,245 $0.00
D0602 0% 44 $0.00

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 officialBAKER, NANNI (MANAGER)
Same official

Other billing entities under BAKER, NANNI

Full network →
ProviderLocationPaid
The Dental Ark, PLLCEl Paso, TX$5.22M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.