Prairie Grove Dental Center PLLC

Prairie Grove Dental Center PLLC was paid $6K by Medicaid between Jul 2022 and Jul 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoPRAIRIE GROVE DENTAL CENTER PLLC
PRAIRIE GROVE, AR 72753

33aNPI1508454612assigned 01/05/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims219

24DCodes billed5

24AFirst – last monthJul 2022 – Jul 2023

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#310 of 401

Median peer was paid$36K

This provider vs. median0.2×

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
2022	66	$2K
2023	153	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	59	59	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	91	91	$2K
D1206	Topical application of fluoride varnish	14%	45	45	$857.85
D0272	Bitewings - two radiographic images	4.7%	12	12	$296.40
D0220	Intraoral - periapical first radiographic image	3.4%	12	12	$216.60

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 officialCLARK, ALAN (DENTIST-OWNER)