Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › VAN BUREN › ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.

ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.

NPI: 1396803722 · VAN BUREN, AR 72956 · General Practice Dentistry · NPI assigned 12/05/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THULL, HILLARY controls 12+ related entities in our dataset. Read more

$901K
Total Medicaid Paid
31,746
Total Claims
29,196
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHULL, HILLARY (CREDENTIALING COORDINATOR)
NPI Enumeration Date12/05/2006

Related Entities

Other providers sharing the same authorized official: THULL, HILLARY

ProviderCityStateTotal Paid
DENTAL PROFESSIONALS OF VIRGINIA, P.C. SUFFOLK VA $2.06M
LIFETIME DENTAL CARE OF MICHIGAN, P.C. LATHRUP VILLAGE MI $475K
MINNESOTA DENTAL PROFESSIONALS, P.C. BROOKLYN CENTER MN $5K
LIFETIME DENTAL CARE OF MICHIGAN, P.C. LATHRUP VILLAGE MI $3K
LIFETIME DENTAL CARE OF MICHIGAN, P.C. WOODHAVEN MI $953.20
LIFETIME DENTAL CARE OF MICHIGAN, P.C. DEXTER MI $286.00
DENTAL PROFESSIONALS OF VIRGINIA, P.C. NORFOLK VA $0.00
DENTAL PROFESSIONALS OF VIRGINIA, P.C. VIRGINIA BEACH VA $0.00
DENTAL PROFESSIONALS OF VIRGINIA, P.C. NORFOLK VA $0.00
DENTAL PROFESSIONALS OF VIRGINIA, P.C. VIRGINIA BEACH VA $0.00
DENTAL PROFESSIONALS OF VIRGINIA, P.C CHESAPEAKE VA $0.00
DENTAL PROFESSIONALS OF VIRGINIA, P.C. VIRGINIA BEACH VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,178 $120K
2019 2,252 $53K
2020 4,169 $130K
2021 5,034 $141K
2022 5,854 $178K
2023 5,399 $155K
2024 4,860 $123K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 3,335 3,255 $148K
D0120 Periodic oral evaluation - established patient 4,566 4,462 $112K
D8670 Periodic orthodontic treatment visit 974 809 $105K
D0272 Bitewings - two radiographic images 3,910 3,830 $84K
D1206 Topical application of fluoride varnish 4,264 4,169 $78K
D0220 Intraoral - periapical first radiographic image 4,149 3,986 $67K
D0230 Intraoral - periapical each additional radiographic image 3,833 3,498 $49K
D0210 Intraoral - complete series of radiographic images 624 590 $46K
D2150 Silver amalgam - two surfaces, primary or permanent 629 388 $44K
D1120 Prophylaxis - child 1,267 1,249 $43K
D1351 Sealant - per tooth 1,463 410 $38K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 78 77 $32K
D2140 293 198 $18K
D0330 Panoramic radiographic image 147 144 $7K
D1208 Topical application of fluoride, excluding varnish 368 364 $7K
D7140 Extraction, erupted tooth or exposed root 75 46 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 182 157 $5K
D0603 907 890 $4K
D0140 Limited oral evaluation - problem focused 108 104 $3K
D0150 Comprehensive oral evaluation - new or established patient 104 103 $3K
D0601 249 249 $1K
D0602 221 218 $1K