Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HURST FAMILY DENTAL CARE, PLLC

NPI: 1568986511 · VAN BUREN, AR 72956 · General Practice Dentistry · NPI assigned 08/01/2017

$44K
Total Medicaid Paid
1,595
Total Claims
1,510
Beneficiaries
7
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHURST, MARK (PRESIDENT)
NPI Enumeration Date08/01/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 161 $4K
2021 217 $5K
2022 436 $13K
2023 384 $10K
2024 397 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 847 805 $20K
D1110 Prophylaxis - adult 406 381 $17K
D0272 Bitewings - two radiographic images 152 148 $4K
D1206 Topical application of fluoride varnish 93 90 $2K
D0220 Intraoral - periapical first radiographic image 50 44 $830.30
D1120 Prophylaxis - child 13 13 $469.30
D0230 Intraoral - periapical each additional radiographic image 34 29 $441.75