DARDANELLE FAMILY DENTISTRY
NPI: 1508246489
· DARDANELLE, AR 72834
· 122300000X
$365K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
490 |
$5K |
| 2019 |
44 |
$1K |
| 2020 |
1,629 |
$45K |
| 2021 |
1,776 |
$49K |
| 2022 |
2,720 |
$77K |
| 2023 |
3,051 |
$86K |
| 2024 |
3,794 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,009 |
1,897 |
$88K |
| D0120 |
|
3,278 |
3,073 |
$79K |
| D1208 |
|
2,860 |
2,725 |
$54K |
| D0272 |
|
2,386 |
2,253 |
$52K |
| D1120 |
|
1,231 |
1,159 |
$40K |
| D2150 |
|
187 |
109 |
$12K |
| D1351 |
|
396 |
68 |
$9K |
| D0210 |
|
123 |
109 |
$9K |
| D0330 |
|
261 |
249 |
$8K |
| D0274 |
|
227 |
225 |
$4K |
| D0220 |
|
233 |
216 |
$4K |
| D2140 |
|
32 |
25 |
$2K |
| D0230 |
|
79 |
69 |
$1K |
| D1206 |
|
35 |
27 |
$668.30 |
| D0601 |
|
137 |
133 |
$635.04 |
| D0150 |
|
15 |
15 |
$478.80 |
| D9230 |
|
15 |
12 |
$319.20 |