Dental
Le Western Dentistry, PLLC
Le Western Dentistry, PLLC was paid $22K by Medicaid between Feb 2021 and Nov 2024, across 6 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 28% of everything it billed.
33Billing provider infoLE WESTERN DENTISTRY, PLLC
CHARLESTON, AR 72933
CHARLESTON, AR 72933
33aNPI1922569573assigned 03/27/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$22K
24GClaims932
24DCodes billed6
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#234 of 401
Median peer was paid$36K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 195 | $5K | |
| 2022 | 392 | $9K | |
| 2023 | 134 | $3K | |
| 2024incomplete | 211 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 28% | 323 | 323 | $6K |
| D0272 | Bitewings - two radiographic images | 24% | 244 | 238 | $5K |
| D1110 | Prophylaxis - adult | 23% | 114 | 114 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 154 | 154 | $4K |
| D1206 | Topical application of fluoride varnish | 6.9% | 82 | 74 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 15 | 13 | $332.40 |
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 officialWORK, CASSI (CLINIC COORDINATOR)
Parent organizationLE WESTERN DENTISTRY, PLLC