Medicaid Provider Spending

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

MAINLINE HEALTH SYSTEMS INC

NPI: 1649679051 · STAR CITY, AR 71667 · Dental Clinic/Center · NPI assigned 08/21/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more

$19K
Total Medicaid Paid
678
Total Claims
638
Beneficiaries
8
Codes Billed
2019-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialNICHOLS, GARY (CEO)
NPI Enumeration Date08/21/2014

Related Entities

Other providers sharing the same authorized official: NICHOLS, GARY

ProviderCityStateTotal Paid
MAINLINE HEALTH SYSTEMS INC MONTICELLO AR $4.81M
MAINLINE HEALTH SYSTEMS, INC STAR CITY AR $3.82M
MAINLINE HEALTH SYSTEMS INC WARREN AR $2.21M
MAINLINE HEALTH SYSTEMS INC DERMOTT AR $1.56M
MAINLINE HEALTH SYSTEMS, INC LAKE VILLAGE AR $1.16M
MAINLINE HEALTH SYSTEMS, INC. RISON AR $1.04M
MAINLINE HEALTH SYSTEMS INC SHERIDAN AR $1.01M
MAINLINE HEALTH SYSTEMS, INC EUDORA AR $887K
MAINLINE HEALTH SYSTEMS, INC MONTICELLO AR $823K
MAINLINE HEALTH SYSTEMS INC PORTLAND AR $598K
MAINLINE HEALTH SYSTEMS, INC STAR CITY AR $589K
MAINLINE HEALTH SYSTEMS, INC STAR CITY AR $494K
MAINLINE HEALTH SYSTEMS INC WILMOT AR $404K
MAINLINE HEALTH SYSTEMS, INC DERMOTT AR $288K
MAINLINE HEALTH SYSTEMS, INC. HAMBURG AR $211K
MAINLINE HEALTH SYSTEMS, INC DERMOTT AR $180K
MAINLINE HEALTH SYSTEMS, INC WARREN AR $159K
MAINLINE HEALTH SYSTEMS INC SHERIDAN AR $128K
MAINLINE HEALTH SYSTEMS, INC HAMBURG AR $50K
MAINLINE HEALTH SYSTEMS, INC WARREN AR $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 128 $3K
2021 127 $4K
2022 122 $4K
2023 203 $4K
2024 98 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 212 198 $9K
D0120 Periodic oral evaluation - established patient 174 166 $4K
D0140 Limited oral evaluation - problem focused 71 68 $2K
D1208 Topical application of fluoride, excluding varnish 96 86 $2K
D0272 Bitewings - two radiographic images 64 64 $1K
D1120 Prophylaxis - child 17 17 $613.70
D0150 Comprehensive oral evaluation - new or established patient 26 26 $513.00
D0274 Bitewings - four radiographic images 18 13 $98.80