Marty J. Harderson, DDS, PA

Marty J. Harderson, DDS, PA was paid $23K by Medicaid between Dec 2020 and Jan 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoMARTY J. HARDERSON, DDS, PA
CLARKSVILLE, AR 72830

33aNPI1720361470assigned 09/20/2011

33bProvider typeDentist

28Total paid$23K

24GClaims883

24DCodes billed6

24AFirst – last monthDec 2020 – Jan 2023

Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#134 of 211

Median peer was paid$44K

This provider vs. median0.5×

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
2020	26	$558.60
2021	224	$5K
2022	518	$15K
2023	115	$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	30%	287	282	$7K
D1208	Topical application of fluoride, excluding varnish	23%	287	283	$5K
D1110	Prophylaxis - adult	18%	98	98	$4K
D0272	Bitewings - two radiographic images	11%	123	123	$2K
D7140	Extraction, erupted tooth or exposed root	10%	36	12	$2K
D1120	Dental cleaning, childProphylaxis - child	7.9%	52	52	$2K

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 officialALSTON, LISA (OFFICE MANAGER)