PARKWAY DENTAL, P.C.
NPI: 1962560342
· RUSSELLVILLE, AR 72801
· General Practice Dentistry
· NPI assigned 12/05/2006
$225K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMMONS, DONALD (DENTIST) |
| NPI Enumeration Date | 12/05/2006 |
Related Entities
Other providers sharing the same authorized official: SIMMONS, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,794 |
$83K |
| 2019 |
386 |
$0.00 |
| 2020 |
804 |
$23K |
| 2021 |
1,501 |
$40K |
| 2022 |
1,545 |
$40K |
| 2023 |
603 |
$15K |
| 2024 |
1,065 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,369 |
1,209 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
2,468 |
2,212 |
$58K |
| D0272 |
Bitewings - two radiographic images |
2,077 |
1,844 |
$42K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,118 |
1,887 |
$38K |
| D1120 |
Prophylaxis - child |
482 |
423 |
$15K |
| D2140 |
|
113 |
58 |
$6K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
71 |
27 |
$5K |