Dental
River Valley Pediatric Dentistry PLLC
River Valley Pediatric Dentistry PLLC was paid $9.72M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.
33Billing provider infoRIVER VALLEY PEDIATRIC DENTISTRY PLLC
FORT SMITH, AR 72901
FORT SMITH, AR 72901
33aNPI1487775011assigned 04/02/2007
33bProvider typePediatric Dentist
28Total paid$9.72M
24GClaims252,530
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#4 of 60
Median peer was paid$1.02M
This provider vs. median9.5×
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 | 65,607 | $2.31M | |
| 2019 | 52,407 | $2.11M | |
| 2020 | 30,361 | $1.21M | |
| 2021 | 24,467 | $1.01M | |
| 2022 | 27,832 | $1.17M | |
| 2023 | 26,442 | $1.01M | |
| 2024incomplete | 25,414 | $911K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 24% | 18,291 | 4,545 | $2.34M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 57,078 | 52,885 | $1.42M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 36,918 | 34,053 | $1.23M |
| D1110 | Prophylaxis - adult | 6.6% | 14,129 | 13,213 | $643K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 31,515 | 28,177 | $574K |
| D0272 | Bitewings - two radiographic images | 5.3% | 24,071 | 22,588 | $512K |
| D8670 | Periodic orthodontic treatment visit | 4.6% | 4,171 | 2,581 | $446K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 6,335 | 3,103 | $400K |
| D2140 | 2.9% | 4,594 | 2,730 | $283K | |
| D0240 | 2.8% | 11,998 | 8,524 | $275K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 9,963 | 9,123 | $243K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 3,492 | 3,405 | $234K |
15 more codes
| D9248 | 2.0% | 2,180 | $197K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.0% | 2,529 | $193K |
| D1206 | Topical application of fluoride varnish | 1.7% | 8,662 | $163K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 4,966 | $152K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 1,607 | $134K |
| D0330 | Panoramic radiographic image | <1% | 2,991 | $82K |
| D1351 | Sealant - per tooth | <1% | 2,823 | $77K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,787 | $41K |
| D2934 | <1% | 182 | $21K | |
| D2330 | <1% | 311 | $20K | |
| D0274 | Bitewings - four radiographic images | <1% | 590 | $15K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 27 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 13 | $721.05 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21 | $205.95 |
| D1999 | 0% | 286 | $0.00 |
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 officialLAWRENCE, TIMOTHY (OWNER)