Dental
Dumas Family Dental Center LLC
Dumas Family Dental Center LLC was paid $132K by Medicaid between Jan 2018 and May 2019, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoDUMAS FAMILY DENTAL CENTER LLC
DUMAS, AR 71639
DUMAS, AR 71639
33aNPI1477795730assigned 04/01/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$132K
24GClaims4,747
24DCodes billed19
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#113 of 401
Median peer was paid$36K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2018 | 4,292 | $123K | |
| 2019 | 455 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 640 | 615 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 219 | 73 | $16K |
| D1110 | Prophylaxis - adult | 9.3% | 263 | 254 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.2% | 473 | 385 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 607 | 583 | $12K |
| D0272 | Bitewings - two radiographic images | 7.3% | 403 | 395 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 273 | 258 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 529 | 509 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 99 | 92 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.2% | 86 | 50 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 480 | 455 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 81 | 46 | $5K |
7 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.2% | 23 | $3K |
| D0603 | 1.5% | 410 | $2K | |
| D2140 | 1.0% | 21 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 53 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 24 | $478.80 |
| D0602 | <1% | 45 | $211.77 |
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 officialJOLLY, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pershing Dental Clinic | North Little Rock, AR | $5.48M |
| The Dental Clinic | North Little Rock, AR | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.