Dental
Medina, Alissa
Medina, Alissa was paid $394K by Medicaid between Jun 2018 and Nov 2021, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoMEDINA, ALISSA
LITTLE ROCK, AR 72204
LITTLE ROCK, AR 72204
33aNPI1679711444assigned 01/31/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$394K
24GClaims13,936
24DCodes billed25
24AFirst – last monthJun 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#52 of 401
Median peer was paid$36K
This provider vs. median11×
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 | 4,492 | $138K | |
| 2019 | 7,493 | $211K | |
| 2020 | 1,777 | $42K | |
| 2021 | 174 | $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 | 14% | 2,167 | 1,839 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,530 | 1,310 | $49K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.1% | 398 | 256 | $32K |
| D0272 | Bitewings - two radiographic images | 7.1% | 1,268 | 1,088 | $28K |
| D1110 | Prophylaxis - adult | 6.6% | 542 | 484 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 1,354 | 1,134 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.8% | 163 | 95 | $23K |
| D2140 | 5.3% | 323 | 183 | $21K | |
| D1351 | Sealant - per tooth | 4.8% | 762 | 225 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 1,150 | 879 | $18K |
| D1206 | Topical application of fluoride varnish | 3.7% | 743 | 658 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 150 | 113 | $13K |
13 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 613 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 863 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 116 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 159 | $11K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 154 | $5K |
| D0330 | Panoramic radiographic image | 1.2% | 90 | $5K |
| D0274 | Bitewings - four radiographic images | 1.0% | 178 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 70 | $3K |
| D0603 | <1% | 611 | $2K | |
| D0602 | <1% | 438 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $1K |
| D0601 | <1% | 42 | $210.00 |
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.