Dental
Gregory K. Bollen, DDS, P.A.
Gregory K. Bollen, DDS, P.A. was paid $92K by Medicaid between Mar 2018 and Oct 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoGREGORY K. BOLLEN, DDS, P.A.
JACKSONVILLE, AR 72076
JACKSONVILLE, AR 72076
33aNPI1518379452assigned 05/27/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$92K
24GClaims3,341
24DCodes billed13
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#131 of 401
Median peer was paid$36K
This provider vs. median2.6×
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 | 87 | $3K | |
| 2020 | 26 | $975.65 | |
| 2021 | 341 | $12K | |
| 2022 | 1,040 | $30K | |
| 2023 | 969 | $26K | |
| 2024incomplete | 878 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 584 | 566 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 755 | 729 | $19K |
| D0140 | Limited oral evaluation - problem focused | 15% | 449 | 412 | $14K |
| D0272 | Bitewings - two radiographic images | 14% | 620 | 603 | $13K |
| D1206 | Topical application of fluoride varnish | 7.7% | 379 | 365 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 350 | 323 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 49 | 29 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 41 | 41 | $3K |
| D0330 | Panoramic radiographic image | <1% | 41 | 41 | $627.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $410.40 |
| D0601 | <1% | 24 | 24 | $115.00 | |
| D0602 | <1% | 21 | 18 | $100.00 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 15 | $85.50 |
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 officialBROOKS, LISA (OFFICE MGR.)
| Provider | Location | Paid |
|---|---|---|
| Hematologics INC | Seattle, WA | $5K |
| Comanche County Hospital | Coldwater, KS | $4K |
| Comanche County Hospital | Coldwater, KS | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.