ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A
NPI: 1740435312
· ARKADELPHIA, AR 71923
· 122300000X
$701K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,005 |
$26K |
| 2019 |
622 |
$14K |
| 2020 |
2,254 |
$69K |
| 2021 |
3,872 |
$124K |
| 2022 |
6,397 |
$188K |
| 2023 |
5,662 |
$155K |
| 2024 |
5,139 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
|
2,575 |
608 |
$160K |
| D1110 |
|
2,156 |
2,070 |
$95K |
| D0120 |
|
3,713 |
3,583 |
$93K |
| D1208 |
|
3,756 |
3,616 |
$71K |
| D0210 |
|
1,032 |
990 |
$69K |
| D0272 |
|
2,793 |
2,682 |
$55K |
| D1120 |
|
1,275 |
1,239 |
$44K |
| D0220 |
|
2,326 |
1,980 |
$31K |
| D9230 |
|
1,469 |
1,250 |
$26K |
| D1351 |
|
886 |
224 |
$21K |
| D0140 |
|
674 |
612 |
$18K |
| D0230 |
|
1,969 |
937 |
$14K |
| D0330 |
|
237 |
220 |
$4K |
| D0274 |
|
39 |
39 |
$568.10 |
| D0603 |
|
51 |
48 |
$240.00 |