KILLINGSWORTH, MATTHEW
NPI: 1871887422
· SILOAM SPRINGS, AR 72761
· Dentist
· NPI assigned 05/31/2011
$158K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,547 |
$36K |
| 2019 |
2,273 |
$54K |
| 2020 |
2,512 |
$65K |
| 2024 |
346 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,031 |
1,739 |
$49K |
| D1120 |
Prophylaxis - child |
1,450 |
1,274 |
$45K |
| D1206 |
Topical application of fluoride varnish |
1,924 |
1,643 |
$34K |
| D0272 |
Bitewings - two radiographic images |
1,078 |
952 |
$24K |
| D1110 |
Prophylaxis - adult |
56 |
41 |
$2K |
| D0240 |
|
93 |
77 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
20 |
12 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
26 |
24 |
$615.00 |