Clinic
Chicot Memorial Medical Center
Chicot Memorial Medical Center was paid $370K by Medicaid between Feb 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoCHICOT MEMORIAL MEDICAL CENTER
LAKE VILLAGE, AR 71653
LAKE VILLAGE, AR 71653
33aNPI1861901985assigned 09/20/2017
33bProvider typeDental Clinic/Center
28Total paid$370K
24GClaims11,192
24DCodes billed13
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#21 of 117
Median peer was paid$43K
This provider vs. median8.6×
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 | 828 | $32K | |
| 2019 | 939 | $33K | |
| 2020 | 896 | $28K | |
| 2021 | 2,114 | $80K | |
| 2022 | 2,327 | $75K | |
| 2023 | 2,239 | $71K | |
| 2024incomplete | 1,849 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 1,548 | 1,456 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 18% | 1,001 | 268 | $68K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,250 | 2,153 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,279 | 1,249 | $44K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 2,019 | 1,954 | $39K |
| D0140 | Limited oral evaluation - problem focused | 10% | 1,268 | 1,148 | $38K |
| D0272 | Bitewings - two radiographic images | 7.4% | 1,196 | 1,145 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 228 | 210 | $18K |
| D0330 | Panoramic radiographic image | 1.0% | 80 | 69 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 205 | 189 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 53 | 43 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 17 | 12 | $1K |
1 more codes
| D0603 | <1% | 48 | $210.00 |
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 officialVAUGHN, SUSAN (CFO)
Parent organizationCHICOT MEMORIAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Chicot Memorial Medical Center | Lake Village, AR | $1.55M |
| Chicot Memorial Medical Center | Lake Village, AR | $179K |
| Chicot Memorial Medical Center | Lake Village, AR | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.