NORTHWEST ARKANSAS PEDIATRIC DENTISTRY PLLC
NPI: 1649988338
· FAYETTEVILLE, AR 72703
· 1223P0221X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
21,256 |
$622K |
| 2024 |
19,753 |
$599K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
1,802 |
351 |
$238K |
| D0120 |
|
6,465 |
6,315 |
$156K |
| D1110 |
|
3,110 |
3,057 |
$140K |
| D1120 |
|
3,797 |
3,686 |
$119K |
| D0272 |
|
5,016 |
4,911 |
$107K |
| D2150 |
|
1,370 |
686 |
$102K |
| D1206 |
|
3,207 |
3,093 |
$58K |
| D1351 |
|
2,020 |
606 |
$49K |
| D7140 |
|
560 |
245 |
$38K |
| D1208 |
|
1,976 |
1,971 |
$37K |
| D0240 |
|
1,625 |
869 |
$36K |
| D9230 |
|
1,438 |
1,353 |
$33K |
| D0140 |
|
1,031 |
995 |
$32K |
| D3220 |
|
274 |
98 |
$22K |
| D2140 |
|
210 |
146 |
$12K |
| D0603 |
|
2,609 |
2,544 |
$10K |
| D0602 |
|
2,040 |
1,997 |
$8K |
| D0601 |
|
1,846 |
1,793 |
$7K |
| D0330 |
|
131 |
120 |
$6K |
| D0220 |
|
287 |
268 |
$4K |
| D2330 |
|
23 |
12 |
$2K |
| D0150 |
|
49 |
49 |
$2K |
| D2160 |
|
14 |
12 |
$1K |
| D9248 |
|
13 |
12 |
$1K |
| D0230 |
|
69 |
65 |
$860.24 |
| D9420 |
|
27 |
26 |
$0.00 |