Dental
Dawson Urrutia, INC.
Dawson Urrutia, INC. was paid $75K by Medicaid between May 2022 and Nov 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoDAWSON URRUTIA, INC.
ALMA, AR 72921
ALMA, AR 72921
33aNPI1427703628assigned 02/16/2022
33bProvider typeDentist
28Total paid$75K
24GClaims2,633
24DCodes billed13
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#81 of 211
Median peer was paid$44K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 143 | $4K | |
| 2023 | 1,125 | $33K | |
| 2024incomplete | 1,365 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 715 | 690 | $17K |
| D1110 | Prophylaxis - adult | 21% | 363 | 353 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 379 | 368 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 122 | 122 | $9K |
| D1206 | Topical application of fluoride varnish | 11% | 452 | 438 | $9K |
| D0272 | Bitewings - two radiographic images | 4.7% | 154 | 149 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 70 | 70 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 156 | 146 | $2K |
| D1351 | Sealant - per tooth | 2.0% | 68 | 17 | $2K |
| D0330 | Panoramic radiographic image | 1.4% | 58 | 57 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 55 | 52 | $541.50 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29 | 29 | $531.02 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $342.00 |
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 officialKING, SHERRI (INSURANCE COORDINATOR)