Dental
Russellville Family Dentistry PA
Russellville Family Dentistry PA was paid $188K by Medicaid between Dec 2020 and Sep 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoRUSSELLVILLE FAMILY DENTISTRY PA
RUSSELLVILLE, AR 72801
RUSSELLVILLE, AR 72801
33aNPI1508287251assigned 12/25/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$188K
24GClaims5,635
24DCodes billed11
24AFirst – last monthDec 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#91 of 401
Median peer was paid$36K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 40 | $931.00 | |
| 2021 | 1,440 | $49K | |
| 2022 | 1,504 | $50K | |
| 2023 | 1,443 | $46K | |
| 2024incomplete | 1,208 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,007 | 987 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,342 | 1,308 | $34K |
| D2140 | 14% | 426 | 239 | $27K | |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,306 | 1,275 | $25K |
| D0272 | Bitewings - two radiographic images | 10% | 837 | 830 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.9% | 169 | 98 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 180 | 147 | $12K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 316 | 308 | $10K |
| D2160 | <1% | 18 | 12 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 20 | 20 | $692.00 |
| D0330 | Panoramic radiographic image | <1% | 14 | 14 | $564.30 |
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 officialKITCHENS, MICHAEL (PRESIDENT)