Dental
Ozark Pediatric Dentistry
Ozark Pediatric Dentistry was paid $3.11M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoOZARK PEDIATRIC DENTISTRY
SILOAM SPRINGS, AR 72761
SILOAM SPRINGS, AR 72761
33aNPI1831621309assigned 04/03/2017
33bProvider typePediatric Dentist
28Total paid$3.11M
24GClaims87,525
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#14 of 60
Median peer was paid$1.02M
This provider vs. median3.1×
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 | 5,670 | $206K | |
| 2019 | 8,346 | $295K | |
| 2020 | 8,404 | $291K | |
| 2021 | 14,488 | $524K | |
| 2022 | 16,316 | $593K | |
| 2023 | 17,676 | $631K | |
| 2024incomplete | 16,625 | $567K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 7,775 | 1,784 | $972K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 13,591 | 13,385 | $427K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 15,272 | 15,012 | $355K |
| D1206 | Topical application of fluoride varnish | 9.9% | 17,673 | 17,352 | $306K |
| D7140 | Extraction, erupted tooth or exposed root | 7.7% | 3,629 | 1,545 | $239K |
| D0272 | Bitewings - two radiographic images | 6.7% | 10,193 | 10,010 | $207K |
| D1351 | Sealant - per tooth | 3.6% | 4,509 | 1,367 | $112K |
| D1110 | Prophylaxis - adult | 2.8% | 1,914 | 1,899 | $88K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 2,365 | 2,287 | $71K |
| D0240 | 2.3% | 3,439 | 3,041 | $70K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 2,470 | 2,380 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 1,853 | 1,847 | $55K |
9 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 423 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 302 | $28K |
| D0330 | Panoramic radiographic image | <1% | 748 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 313 | $19K |
| D0350 | <1% | 749 | $16K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 156 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 77 | $2K |
| D0270 | <1% | 42 | $394.93 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 32 | $312.04 |
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 officialKILLINGSWORTH, MATTHEW (OWNER)