Dental
Jacksonville Smile Canter
Jacksonville Smile Canter was paid $88K by Medicaid between May 2019 and Oct 2021, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoJACKSONVILLE SMILE CANTER
JACKSONVILLE, AR 72076
JACKSONVILLE, AR 72076
33aNPI1962969949assigned 02/26/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$88K
24GClaims3,554
24DCodes billed15
24AFirst – last monthMay 2019 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#136 of 401
Median peer was paid$36K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2019 | 1,030 | $27K | |
| 2020 | 1,651 | $39K | |
| 2021 | 873 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 641 | 629 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 888 | 874 | $22K |
| D0272 | Bitewings - two radiographic images | 14% | 615 | 600 | $12K |
| D1206 | Topical application of fluoride varnish | 13% | 634 | 622 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 273 | 263 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 84 | 82 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 133 | 114 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 36 | 32 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 48 | 48 | $905.27 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $840.75 |
| D0274 | Bitewings - four radiographic images | <1% | 19 | 19 | $419.90 |
| D0603 | <1% | 73 | 71 | $290.00 |
3 more codes
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 officialMATONE, CHAD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Conway Dental Center PLLC | Conway, AR | $514K |
| Chad D Matone DDS PA | Malvern, AR | $404K |
| Lonoke Smile Center PLLC | Lonoke, AR | $182K |
| Brinkley Smile Center, PLLC | Brinkley, AR | $43K |
| Chad Matone Dental Services, P.L.L.C. | Benton, AR | $17K |
| Pine Bluff Dental Center, PLLC | Pine Bluff, AR | $11K |
| Monticello Dental Center PLLC | Monticello, AR | $9K |
| Cantrell Family Dental Center | Little Rock, AR | $4K |
| Chad Matone Dental Services,p.L.L.C. | North Little Rock, AR | $212.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.