ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
NPI: 1396803722
· VAN BUREN, AR 72956
· 1223G0001X
$901K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
3,335 |
3,255 |
$148K |
| D0120 |
|
4,566 |
4,462 |
$112K |
| D8670 |
|
974 |
809 |
$105K |
| D0272 |
|
3,910 |
3,830 |
$84K |
| D1206 |
|
4,264 |
4,169 |
$78K |
| D0220 |
|
4,149 |
3,986 |
$67K |
| D0230 |
|
3,833 |
3,498 |
$49K |
| D0210 |
|
624 |
590 |
$46K |
| D2150 |
|
629 |
388 |
$44K |
| D1120 |
|
1,267 |
1,249 |
$43K |
| D1351 |
|
1,463 |
410 |
$38K |
| D8080 |
|
78 |
77 |
$32K |
| D2140 |
|
293 |
198 |
$18K |
| D0330 |
|
147 |
144 |
$7K |
| D1208 |
|
368 |
364 |
$7K |
| D7140 |
|
75 |
46 |
$5K |
| D9230 |
|
182 |
157 |
$5K |
| D0603 |
|
907 |
890 |
$4K |
| D0140 |
|
108 |
104 |
$3K |
| D0150 |
|
104 |
103 |
$3K |
| D0601 |
|
249 |
249 |
$1K |
| D0602 |
|
221 |
218 |
$1K |