Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RIVER DENTAL SILOAM SPRINGS, PLLC

NPI: 1942807144 · SILOAM SPRINGS, AR 72761 · Dentist · NPI assigned 10/01/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$267K
Total Medicaid Paid
10,993
Total Claims
9,981
Beneficiaries
17
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARDON, CREED (OWNER)
NPI Enumeration Date10/01/2020

Related Entities

Other providers sharing the same authorized official: CARDON, CREED

ProviderCityStateTotal Paid
MCO PEDS PLLC JENKS OK $2.51M
OKLAHOMA CITY DENTAL SW, PLLC OKLAHOMA CITY OK $1.24M
SUMMER DENTAL STILLWATER, PLLC STILLWATER OK $1.22M
SAPULPA KIDS DENTAL PLLC SAPULPA OK $1.12M
SPRING ORTHODONTICS TULSA TULSA OK $1.03M
SPRING DENTAL COLLINSVILLE, PLLC COLLINSVILLE OK $1.01M
OKC 89TH DENTAL, PLLC OKLAHOMA CITY OK $962K
TULSA KIDS DENTAL PLLC TULSA OK $857K
WITCHITA 21ST DENTAL, PA WICHITA KS $802K
SUMMER DENTAL MIDWEST CITY, PLLC MIDWEST CITY OK $454K
SPRING DENTAL VINITA, PLLC VINITA OK $371K
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC TULSA OK $194K
COTTONWOOD DENTAL MAIZE, PA WICHITA KS $186K
REDBUD DENTAL EDMOND, PLLC EDMOND OK $157K
DENTAL CARE OF WICHITA PA WICHITA KS $73K
RIVER DENTAL ROGERS SOUTH, PLLC ROGERS AR $66K
RIVER DENTAL ROGERS, PLLC ROGERS AR $61K
MARION FAMILY SMILES, P.A. MARION KS $56K
OWASSO PEDIATRIC DENTISTRY, PLLC OWASSO OK $45K
WILLOW DENTAL BELLEVUE, LLC BELLEVUE NE $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 511 $14K
2022 3,522 $83K
2023 3,315 $75K
2024 3,645 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,007 984 $45K
D0120 Periodic oral evaluation - established patient 1,708 1,673 $38K
D0330 Panoramic radiographic image 689 678 $29K
D1206 Topical application of fluoride varnish 1,729 1,701 $29K
D0272 Bitewings - two radiographic images 1,227 1,207 $22K
D0220 Intraoral - periapical first radiographic image 1,281 1,241 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 135 73 $16K
D0210 Intraoral - complete series of radiographic images 211 200 $14K
D1120 Prophylaxis - child 452 444 $14K
D0230 Intraoral - periapical each additional radiographic image 1,607 966 $12K
D0140 Limited oral evaluation - problem focused 269 258 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 112 52 $7K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 40 13 $5K
D4341 34 15 $5K
D0602 460 450 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 18 12 $2K
D0601 14 14 $74.05