Dental
Smile Shoppe Fayetteville Jeffrey D. Rhodes DDS MS PLLC
Smile Shoppe Fayetteville Jeffrey D. Rhodes DDS MS PLLC was paid $828K by Medicaid between Dec 2019 and Dec 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoSMILE SHOPPE FAYETTEVILLE JEFFREY D. RHODES DDS MS PLLC
FAYETTEVILLE, AR 72704
FAYETTEVILLE, AR 72704
33aNPI1508334400assigned 11/08/2018
33bProvider typePediatric Dentist
28Total paid$828K
24GClaims30,750
24DCodes billed24
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#33 of 60
Median peer was paid$1.02M
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 51 | $876.50 | |
| 2020 | 1,979 | $42K | |
| 2021 | 3,631 | $81K | |
| 2022 | 5,271 | $133K | |
| 2023 | 8,372 | $239K | |
| 2024incomplete | 11,446 | $332K |
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% | 4,529 | 4,385 | $111K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 911 | 253 | $111K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,237 | 3,129 | $106K |
| D1206 | Topical application of fluoride varnish | 10% | 4,579 | 4,448 | $83K |
| D0272 | Bitewings - two radiographic images | 8.3% | 3,021 | 2,950 | $69K |
| D0240 | 7.8% | 2,781 | 1,385 | $65K | |
| D1110 | Prophylaxis - adult | 6.7% | 1,226 | 1,206 | $55K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.2% | 588 | 260 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 608 | 284 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 1,518 | 1,424 | $36K |
| D9248 | 2.5% | 247 | 231 | $20K | |
| D0603 | 2.2% | 4,740 | 4,584 | $18K |
12 more codes
| D1351 | Sealant - per tooth | 1.8% | 631 | $15K |
| D0330 | Panoramic radiographic image | 1.7% | 280 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 764 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 615 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 93 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 130 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 104 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 43 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 20 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 34 | $765.70 |
| D9215 | 0% | 31 | $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 officialWATSON, KARIE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Smile Shoppe Bentonville Jeffrey D Rhodes DDS MS PLLC | Bentonville, AR | $1.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.