Ark Dental LLC

Ark Dental LLC was paid $91K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 37% of everything it billed.

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
2018	244	$9K
2019	153	$5K
2020	74	$2K
2021	293	$11K
2022	524	$23K
2023	499	$26K
2024incomplete	304	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	37%	916	817	$34K
D1110	Prophylaxis - adult	34%	605	596	$31K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	7.1%	43	14	$6K
D0210	Intraoral - complete series of radiographic images	6.9%	86	84	$6K
D0150	Comprehensive oral evaluation - new or established patient	6.6%	148	146	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.7%	189	189	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.8%	24	13	$2K
D0220	Intraoral - periapical first radiographic image	1.0%	67	65	$931.00
D0274	Bitewings - four radiographic images	<1%	13	13	$459.00

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 officialKASEMKHANI, ALI (OWNER)