Dental
Dardanelle Family Dentistry
Dardanelle Family Dentistry was paid $365K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoDARDANELLE FAMILY DENTISTRY
DARDANELLE, AR 72834
DARDANELLE, AR 72834
33aNPI1508246489assigned 06/04/2015
33bProvider typeDentist
28Total paid$365K
24GClaims13,504
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#30 of 211
Median peer was paid$44K
This provider vs. median8.4×
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 | 490 | $5K | |
| 2019 | 44 | $1K | |
| 2020 | 1,629 | $45K | |
| 2021 | 1,776 | $49K | |
| 2022 | 2,720 | $77K | |
| 2023 | 3,051 | $86K | |
| 2024incomplete | 3,794 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 2,009 | 1,897 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 3,278 | 3,073 | $79K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 2,860 | 2,725 | $54K |
| D0272 | Bitewings - two radiographic images | 14% | 2,386 | 2,253 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,231 | 1,159 | $40K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.3% | 187 | 109 | $12K |
| D1351 | Sealant - per tooth | 2.5% | 396 | 68 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 123 | 109 | $9K |
| D0330 | Panoramic radiographic image | 2.3% | 261 | 249 | $8K |
| D0274 | Bitewings - four radiographic images | 1.2% | 227 | 225 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 233 | 216 | $4K |
| D2140 | <1% | 32 | 25 | $2K |
5 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 79 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 35 | $668.30 |
| D0601 | <1% | 137 | $635.04 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | $478.80 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | $319.20 |
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 officialCROW-GOATES, KATIE (OWNER)