Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PINE BLUFF DENTAL CENTER, PLLC

NPI: 1548700719 · PINE BLUFF, AR 71603 · General Practice Dentistry · NPI assigned 03/07/2017

$11K
Total Medicaid Paid
537
Total Claims
452
Beneficiaries
6
Codes Billed
2019-07
First Month
2024-04
Last Month

Provider Details

Authorized OfficialMATONE, CHAD (OWNER/DENTIST)
NPI Enumeration Date03/07/2017

Related Entities

Other providers sharing the same authorized official: MATONE, CHAD

ProviderCityStateTotal Paid
CONWAY DENTAL CENTER PLLC CONWAY AR $514K
CHAD D MATONE DDS PA MALVERN AR $404K
LONOKE SMILE CENTER PLLC LONOKE AR $182K
JACKSONVILLE SMILE CANTER JACKSONVILLE AR $88K
BRINKLEY SMILE CENTER, PLLC BRINKLEY AR $43K
CHAD MATONE DENTAL SERVICES, P.L.L.C. BENTON AR $17K
MONTICELLO DENTAL CENTER PLLC MONTICELLO AR $9K
CANTRELL FAMILY DENTAL CENTER LITTLE ROCK AR $4K
CHAD MATONE DENTAL SERVICES,P.L.L.C. NORTH LITTLE ROCK AR $212.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $760.00
2020 13 $345.80
2021 13 $292.60
2023 271 $5K
2024 215 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 124 111 $4K
D1208 Topical application of fluoride, excluding varnish 144 123 $2K
D0272 Bitewings - two radiographic images 116 101 $2K
D0120 Periodic oral evaluation - established patient 73 67 $2K
D0220 Intraoral - periapical first radiographic image 50 37 $541.50
D0230 Intraoral - periapical each additional radiographic image 30 13 $313.50