Rodriguez Dentistry PLLC

Rodriguez Dentistry PLLC was paid $16K by Medicaid between Dec 2019 and Dec 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoRODRIGUEZ DENTISTRY PLLC
SPRINGDALE, AR 72762

33aNPI1609387612assigned 10/17/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims665

24DCodes billed8

24AFirst – last monthDec 2019 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#258 of 401

Median peer was paid$36K

This provider vs. median0.5×

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	14	$198.55
2020	146	$4K
2021	112	$3K
2022	108	$2K
2023	162	$4K
2024incomplete	123	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	251	250	$6K
D1110	Prophylaxis - adult	30%	114	111	$5K
D0220	Intraoral - periapical first radiographic image	13%	125	117	$2K
D0272	Bitewings - two radiographic images	9.8%	70	69	$2K
D1206	Topical application of fluoride varnish	5.8%	52	51	$953.38
D1208	Topical application of fluoride, excluding varnish	1.6%	13	12	$259.35
D0230	Intraoral - periapical each additional radiographic image	1.0%	13	12	$171.00
D0603		<1%	27	27	$130.00

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 officialRODRIGUEZ, RACHAEL (DDS, MEMBER)