Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › FORT SMITH › SAL DENTISTRY PLLC D/B/A FRIDDLE DENTISTRY

SAL DENTISTRY PLLC D/B/A FRIDDLE DENTISTRY

NPI: 1982170171 · FORT SMITH, AR 72903 · General Practice Dentistry · NPI assigned 10/16/2018

$19K
Total Medicaid Paid
928
Total Claims
886
Beneficiaries
8
Codes Billed
2019-03
First Month
2022-11
Last Month

Provider Details

Authorized OfficialLITTLE, WILLIAM (CO-OWNER)
NPI Enumeration Date10/16/2018

Related Entities

Other providers sharing the same authorized official: LITTLE, WILLIAM

ProviderCityStateTotal Paid
SOUTHERN DENTAL GROUP, PLLC WYNNE AR $447K
PARIS DENTAL CLINIC PLLC PARIS AR $285K
GPS NEAVILLE FAMILY DENTISTRY PLLC SEARCY AR $229K
SOUTHERN DENTAL GROUP BALD KNOB, PLLC BALD KNOB AR $203K
SCOTTSBURG FAMILY DENTISTRY LLC SCOTTSBURG IN $73K
SOUTHERN DENTAL OF HILLTOP PLLC JONESBORO AR $58K
SOUTHERN DENTAL OF HOT SPRINGS PLLC HOT SPRINGS VILLAGE AR $35K
WILLIAM R LITTLE DDS PLLC JONESBORO AR $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 633 $13K
2020 282 $6K
2022 13 $259.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 163 158 $4K
D1110 Prophylaxis - adult 83 81 $4K
D1208 Topical application of fluoride, excluding varnish 158 153 $3K
D0272 Bitewings - two radiographic images 126 122 $3K
D0220 Intraoral - periapical first radiographic image 174 166 $3K
D0230 Intraoral - periapical each additional radiographic image 196 181 $2K
D0602 15 12 $75.00
D0601 13 13 $45.00