DAVE WARD DENTAL CENTER
NPI: 1760049753
· CONWAY, AR 72034
· Dental Clinic/Center
· NPI assigned 05/24/2019
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | BURROW, SARA (INSURANCE ADMIN) |
| NPI Enumeration Date | 05/24/2019 |
Related Entities
Other providers sharing the same authorized official: BURROW, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
669 |
$15K |
| 2020 |
1,201 |
$27K |
| 2021 |
1,172 |
$28K |
| 2022 |
1,168 |
$32K |
| 2023 |
1,022 |
$28K |
| 2024 |
742 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,209 |
1,181 |
$54K |
| D0120 |
Periodic oral evaluation - established patient |
1,341 |
1,302 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,211 |
1,197 |
$23K |
| D0272 |
Bitewings - two radiographic images |
828 |
818 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
576 |
556 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
447 |
424 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
158 |
138 |
$4K |
| D1206 |
Topical application of fluoride varnish |
175 |
160 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$485.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$423.20 |