Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAMILY DENTAL CARE OF POCAHONTAS INC

NPI: 1841309879 · POCAHONTAS, AR 72455 · Dentist · NPI assigned 08/30/2006

$124K
Total Medicaid Paid
4,585
Total Claims
4,146
Beneficiaries
11
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOLT, DENNIS (DENTIST)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 115 $3K
2019 405 $10K
2020 85 $2K
2021 248 $5K
2022 719 $18K
2023 1,032 $26K
2024 1,981 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,197 1,079 $30K
D1110 Prophylaxis - adult 458 450 $21K
D1208 Topical application of fluoride, excluding varnish 1,009 931 $19K
D0272 Bitewings - two radiographic images 595 547 $14K
D0210 Intraoral - complete series of radiographic images 169 159 $12K
D0220 Intraoral - periapical first radiographic image 517 486 $9K
D0140 Limited oral evaluation - problem focused 241 226 $8K
D1120 Prophylaxis - child 174 145 $6K
D7140 Extraction, erupted tooth or exposed root 89 42 $5K
D0230 Intraoral - periapical each additional radiographic image 106 51 $940.50
D9110 30 30 $742.90