RANDALL S HESTIR DDS INC
NPI: 1770796401
· DEWITT, AR 72042
· General Practice Dentistry
· NPI assigned 05/08/2007
$755K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,284 |
$148K |
| 2019 |
4,678 |
$134K |
| 2020 |
3,605 |
$93K |
| 2021 |
4,204 |
$110K |
| 2022 |
4,553 |
$115K |
| 2023 |
3,288 |
$86K |
| 2024 |
3,026 |
$69K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
5,304 |
5,119 |
$136K |
| D0240 |
|
5,751 |
3,167 |
$136K |
| D1110 |
Prophylaxis - adult |
2,608 |
2,531 |
$120K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,205 |
5,025 |
$100K |
| D1120 |
Prophylaxis - child |
2,452 |
2,373 |
$85K |
| D0272 |
Bitewings - two radiographic images |
3,476 |
3,373 |
$82K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
496 |
310 |
$35K |
| D0210 |
Intraoral - complete series of radiographic images |
364 |
356 |
$29K |
| D2140 |
|
261 |
163 |
$15K |
| D0601 |
|
1,816 |
1,758 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
367 |
342 |
$6K |
| D0602 |
|
417 |
396 |
$2K |
| D0603 |
|
109 |
108 |
$500.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$400.40 |