Medicaid Provider Spending

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

MARTY J. HARDERSON, DDS, PA

NPI: 1720361470 · CLARKSVILLE, AR 72830 · Dentist · NPI assigned 09/20/2011

$23K
Total Medicaid Paid
883
Total Claims
850
Beneficiaries
6
Codes Billed
2020-12
First Month
2023-01
Last Month

Provider Details

Authorized OfficialALSTON, LISA (OFFICE MANAGER)
NPI Enumeration Date09/20/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $558.60
2021 224 $5K
2022 518 $15K
2023 115 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 287 282 $7K
D1208 Topical application of fluoride, excluding varnish 287 283 $5K
D1110 Prophylaxis - adult 98 98 $4K
D0272 Bitewings - two radiographic images 123 123 $2K
D7140 Extraction, erupted tooth or exposed root 36 12 $2K
D1120 Prophylaxis - child 52 52 $2K