Dallison, Noble

Dallison, Noble was paid $8K by Medicaid between Aug 2019 and Feb 2020, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoDALLISON, NOBLE
BELLA VISTA, AR 72714

33aNPI1588683700assigned 07/19/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims264

24DCodes billed4

24AFirst – last monthAug 2019 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#299 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
2019	138	$4K
2020	126	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	66	66	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	109	109	$3K
D0272	Bitewings - two radiographic images	15%	50	50	$1K
D1206	Topical application of fluoride varnish	9.9%	39	39	$778.05

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.