Dental
Pershing Dental Clinic
Pershing Dental Clinic was paid $5.48M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 10% of everything it billed.
33Billing provider infoPERSHING DENTAL CLINIC
NORTH LITTLE ROCK, AR 72114
NORTH LITTLE ROCK, AR 72114
33aNPI1790992758assigned 05/17/2007
33bProvider typeDentist
28Total paid$5.48M
24GClaims139,533
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#2 of 211
Median peer was paid$44K
This provider vs. median125×
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 | 31,582 | $1.38M | |
| 2019 | 23,556 | $904K | |
| 2020 | 14,563 | $528K | |
| 2021 | 16,809 | $623K | |
| 2022 | 14,881 | $566K | |
| 2023 | 17,902 | $697K | |
| 2024incomplete | 20,240 | $779K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 10% | 8,255 | 2,736 | $563K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 21,755 | 20,273 | $561K |
| D1110 | Prophylaxis - adult | 9.8% | 11,553 | 10,810 | $534K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.1% | 6,356 | 3,438 | $500K |
| D0210 | Intraoral - complete series of radiographic images | 7.9% | 5,256 | 4,878 | $434K |
| D0272 | Bitewings - two radiographic images | 7.2% | 18,424 | 17,381 | $396K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 19,177 | 17,977 | $374K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 11,003 | 8,959 | $280K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.9% | 1,973 | 850 | $270K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 7,656 | 7,173 | $266K |
| D2160 | 4.6% | 2,785 | 1,372 | $252K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 3,289 | 1,852 | $249K |
18 more codes
| D2140 | 2.0% | 1,783 | $111K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 6,127 | $103K |
| D1351 | Sealant - per tooth | 1.4% | 2,749 | $75K |
| D4341 | 1.2% | 552 | $68K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 2,043 | $66K |
| D2161 | 1.2% | 589 | $65K | |
| D0330 | Panoramic radiographic image | <1% | 2,371 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,350 | $45K |
| D0240 | <1% | 1,751 | $43K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 77 | $40K |
| D2931 | <1% | 217 | $33K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 382 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,520 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 245 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 95 | $13K |
| D2394 | <1% | 67 | $7K | |
| D2332 | <1% | 64 | $7K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 69 | $6K |
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 officialJOLLY, ROBERT (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Dumas Family Dental Center LLC | Dumas, AR | $132K |
| The Dental Clinic | North Little Rock, AR | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.