DC DENTAL
NPI: 1740423482
· ARKADELPHIA, AR 71923
· General Practice Dentistry
· NPI assigned 04/10/2009
$393K
Total Medicaid Paid
Provider Details
| Authorized Official | COFFEE, WILLIAM (DENTIST) |
| NPI Enumeration Date | 04/10/2009 |
Related Entities
Other providers sharing the same authorized official: COFFEE, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
875 |
$21K |
| 2021 |
3,786 |
$92K |
| 2022 |
4,036 |
$96K |
| 2023 |
4,251 |
$102K |
| 2024 |
3,689 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,395 |
3,331 |
$88K |
| D1110 |
Prophylaxis - adult |
1,621 |
1,594 |
$76K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,273 |
3,212 |
$63K |
| D1120 |
Prophylaxis - child |
1,746 |
1,712 |
$61K |
| D0272 |
Bitewings - two radiographic images |
2,588 |
2,550 |
$60K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
622 |
591 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
708 |
688 |
$12K |
| D0601 |
|
2,095 |
2,050 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
340 |
330 |
$4K |
| D2140 |
|
54 |
39 |
$3K |
| D1351 |
Sealant - per tooth |
40 |
12 |
$1K |
| D0602 |
|
155 |
153 |
$665.00 |