Dental
Pediatric Dentistry of Eastern Arkansas
Pediatric Dentistry of Eastern Arkansas was paid $1.53M by Medicaid between Jan 2018 and Oct 2019, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF EASTERN ARKANSAS
WEST MEMPHIS, AR 72301
WEST MEMPHIS, AR 72301
33aNPI1649431370assigned 06/25/2008
33bProvider typePediatric Dentist
28Total paid$1.53M
24GClaims40,838
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#26 of 60
Median peer was paid$1.02M
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2018 | 20,543 | $771K | |
| 2019 | 20,295 | $760K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 1,732 | 619 | $240K |
| D2140 | 9.7% | 2,305 | 1,279 | $149K | |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 4,252 | 4,036 | $149K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 5,447 | 5,214 | $142K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.7% | 1,672 | 1,011 | $133K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 5,608 | 5,364 | $109K |
| D0272 | Bitewings - two radiographic images | 6.0% | 3,961 | 3,783 | $92K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 1,234 | 696 | $88K |
| D1110 | Prophylaxis - adult | 5.7% | 1,818 | 1,748 | $87K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.8% | 2,845 | 2,631 | $73K |
| D1351 | Sealant - per tooth | 3.6% | 2,014 | 640 | $56K |
| D9248 | 3.4% | 548 | 504 | $52K |
10 more codes
| D0330 | Panoramic radiographic image | 3.0% | 762 | $45K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.9% | 532 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,423 | $24K |
| D0140 | Limited oral evaluation - problem focused | <1% | 372 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 710 | $10K |
| D0603 | <1% | 1,638 | $8K | |
| D0601 | <1% | 1,113 | $5K | |
| D2330 | <1% | 72 | $5K | |
| D0602 | <1% | 765 | $4K | |
| D1510 | <1% | 15 | $3K |
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 officialFRANKS, SHARON (OM)