SPADES DENTAL CARE, P.A.
NPI: 1861667131
· JONESBORO, AR 72401
· General Practice Dentistry
· NPI assigned 04/28/2008
$228K
Total Medicaid Paid
Provider Details
| Authorized Official | SPADES, WILLIAM (OWNER/DENTIST) |
| NPI Enumeration Date | 04/28/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,835 |
$50K |
| 2019 |
1,744 |
$42K |
| 2020 |
977 |
$25K |
| 2021 |
1,152 |
$29K |
| 2022 |
1,510 |
$38K |
| 2023 |
832 |
$21K |
| 2024 |
906 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,539 |
1,446 |
$68K |
| D0120 |
Periodic oral evaluation - established patient |
2,439 |
2,256 |
$61K |
| D0272 |
Bitewings - two radiographic images |
1,989 |
1,873 |
$43K |
| D1206 |
Topical application of fluoride varnish |
2,223 |
2,096 |
$42K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
357 |
293 |
$8K |
| D1120 |
Prophylaxis - child |
97 |
71 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
12 |
$976.15 |
| D0601 |
|
186 |
182 |
$815.00 |
| D0602 |
|
89 |
85 |
$425.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$188.55 |