Dover Dental D.D.S., P.A. Dba Dover Family Dentistry

Dover Dental D.D.S., P.A. Dba Dover Family Dentistry was paid $14K by Medicaid between Feb 2021 and Nov 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.

33Billing provider infoDOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY
MOUNTAIN HOME, AR 72653

33aNPI1912529504assigned 05/18/2020

33bProvider typeDental Clinic/Center

28Total paid$14K

24GClaims584

24DCodes billed6

24AFirst – last monthFeb 2021 – Nov 2023

Compared with peers

Next to other Dental Clinic/Center providers in Arkansas

Rank by total paid#78 of 117

Median peer was paid$43K

This provider vs. median0.3×

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
2021	78	$2K
2022	185	$4K
2023	321	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	53%	296	289	$7K
D1206	Topical application of fluoride varnish	23%	178	169	$3K
D1110	Prophylaxis - adult	8.7%	28	28	$1K
D1120	Dental cleaning, childProphylaxis - child	8.6%	40	40	$1K
D0272	Bitewings - two radiographic images	4.7%	28	28	$666.90
D0274	Bitewings - four radiographic images	2.2%	14	14	$311.10

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 officialDOVER, MATT (OWNER/ DENTIST)