Clinic
Ridge Dental Group PLLC
Ridge Dental Group PLLC was paid $90K by Medicaid between Apr 2022 and Sep 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoRIDGE DENTAL GROUP PLLC
WYNNE, AR 72396
WYNNE, AR 72396
33aNPI1972263739assigned 12/21/2021
33bProvider typeDental Clinic/Center
28Total paid$90K
24GClaims3,876
24DCodes billed10
24AFirst – last monthApr 2022 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#46 of 117
Median peer was paid$43K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2022 | 984 | $23K | |
| 2023 | 1,530 | $36K | |
| 2024incomplete | 1,362 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 487 | 477 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 818 | 799 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 871 | 854 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 593 | 573 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 183 | 176 | $6K |
| D0272 | Bitewings - two radiographic images | 6.5% | 272 | 262 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 427 | 398 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 116 | 98 | $3K |
| D0274 | Bitewings - four radiographic images | 1.7% | 74 | 74 | $2K |
| D0602 | <1% | 35 | 34 | $60.00 |
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 officialVANHOUTEN- GRUBBS, KELLI (PARTNER)