DW Smiles PLLC

DW Smiles PLLC was paid $41K by Medicaid between Aug 2018 and Feb 2022, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoDW SMILES PLLC
MAUMELLE, AR 72113

33aNPI1740782796assigned 03/06/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$41K

24GClaims1,374

24DCodes billed10

24AFirst – last monthAug 2018 – Feb 2022

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#192 of 401

Median peer was paid$36K

This provider vs. median1.1×

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	25	$585.20
2020	233	$6K
2021	993	$31K
2022	123	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	592	580	$15K
D1110	Prophylaxis - adult	23%	232	228	$10K
D1120	Dental cleaning, childProphylaxis - child	17%	220	209	$7K
D0210	Intraoral - complete series of radiographic images	9.2%	58	57	$4K
D1206	Topical application of fluoride varnish	6.8%	146	144	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	4.3%	24	14	$2K
D0272	Bitewings - two radiographic images	2.1%	40	40	$869.20
D0220	Intraoral - periapical first radiographic image	1.0%	31	31	$415.15
D0230	Intraoral - periapical each additional radiographic image	<1%	19	17	$142.50
D0274	Bitewings - four radiographic images	<1%	12	12	$103.50

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 officialWALLACE, DUSTIN (OWNER/DENTIST)