Clinic
West Memphis Dental Group
West Memphis Dental Group was paid $25K by Medicaid between Aug 2022 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoWEST MEMPHIS DENTAL GROUP
WEST MEMPHIS, AR 72301
WEST MEMPHIS, AR 72301
33aNPI1780352948assigned 09/02/2021
33bProvider typeDental Clinic/Center
28Total paid$25K
24GClaims1,157
24DCodes billed8
24AFirst – last monthAug 2022 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#69 of 117
Median peer was paid$43K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 135 | $3K | |
| 2023 | 722 | $16K | |
| 2024incomplete | 300 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 139 | 133 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 20% | 307 | 285 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 199 | 189 | $5K |
| D0272 | Bitewings - two radiographic images | 13% | 152 | 146 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 165 | 159 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 135 | 124 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 48 | 40 | $927.60 |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 12 | 12 | $273.60 |
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 officialHILDENBRAND, BRETT (CEO)