Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › WEST MEMPHIS › HIGGINBOTHAM DENTAL GROUP, PLLC

HIGGINBOTHAM DENTAL GROUP, PLLC

NPI: 1770848681 · WEST MEMPHIS, AR 72301 · General Practice Dentistry · NPI assigned 07/06/2012

$86K
Total Medicaid Paid
3,358
Total Claims
3,269
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROSS, MISTI (INS DIRECTOR)
NPI Enumeration Date07/06/2012

Related Entities

Other providers sharing the same authorized official: ROSS, MISTI

ProviderCityStateTotal Paid
HIGGINBOTHAM DENTAL GROUP, PLLC BLYTHEVILLE AR $520K
HIGGINBOTHAM DENTAL GROUP, PLLC PARAGOULD AR $418K
HIGGINBOTHAM DENTAL GROUP, PLLC JONESBORO AR $275K
HIGGINBOTHAM DENTAL GROUP, PLLC JONESBORO AR $163K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,117 $30K
2019 117 $3K
2020 505 $12K
2021 418 $11K
2022 357 $9K
2023 562 $15K
2024 282 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,107 1,080 $28K
D1110 Prophylaxis - adult 467 453 $21K
D1206 Topical application of fluoride varnish 1,100 1,069 $20K
D0272 Bitewings - two radiographic images 539 526 $12K
D1120 Prophylaxis - child 118 114 $4K
D0210 Intraoral - complete series of radiographic images 13 13 $1K
D0274 Bitewings - four radiographic images 14 14 $0.00