Dental
North Shore Family Dental Care LLC
North Shore Family Dental Care LLC was paid $117K by Medicaid between Jan 2018 and Oct 2021, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoNORTH SHORE FAMILY DENTAL CARE LLC
NORTH LITTLE ROCK, AR 72118
NORTH LITTLE ROCK, AR 72118
33aNPI1831562545assigned 11/03/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$117K
24GClaims4,502
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#119 of 401
Median peer was paid$36K
This provider vs. median3.2×
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 | 2,046 | $53K | |
| 2019 | 954 | $23K | |
| 2020 | 804 | $22K | |
| 2021 | 698 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 1,406 | 1,167 | $34K |
| D0272 | Bitewings - two radiographic images | 17% | 978 | 810 | $20K |
| D1110 | Prophylaxis - adult | 17% | 454 | 371 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 565 | 456 | $18K |
| D1206 | Topical application of fluoride varnish | 8.8% | 570 | 461 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 86 | 84 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 248 | 216 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 86 | 65 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 89 | 68 | $1K |
| D0330 | Panoramic radiographic image | <1% | 20 | 17 | $250.80 |
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 officialDECOURSEY, BRETT (OWNER/ DENTIST)