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

River Dental Bella Vista PLLC

River Dental Bella Vista PLLC was paid $9K by Medicaid between May 2022 and Dec 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoRIVER DENTAL BELLA VISTA PLLC
BELLA VISTA, AR 72714
33aNPI1407512825assigned 11/10/2021
33bProvider typeDentist
28Total paid$9K
24GClaims376
24DCodes billed5
24AFirst – last monthMay 2022 – Dec 2023
Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#160 of 211
Median peer was paid$44K
This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
2022194$4K
2023182$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 48% 215 177 $4K
D0210 Intraoral - complete series of radiographic images 26% 38 38 $2K
D1110 Prophylaxis - adult 23% 54 50 $2K
D0220 Intraoral - periapical first radiographic image 2.1% 34 27 $185.38
D0230 Intraoral - periapical each additional radiographic image <1% 35 12 $42.75

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 officialCARDON, CREED (OWNER)
Same official

Other billing entities under CARDON, CREED

Full network →

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