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    OpenPayerNPI Medicare & MedicaidDental Central Sa PLLC
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    Dental Central Sa PLLC — Billing Profile & Reimbursement Data

    NPI 1194326488 · Fort Smith, AR · Dental Clinic/Center

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    Dental Central Sa PLLC is a dental clinic/center provider located in Fort Smith, Arkansas. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDental Central Sa PLLC
    Address1326 S Waldron Rd
    CityFort Smith
    StateAR
    ZIP72903
    TaxonomyDental Clinic/Center
    NPI EnumeratedNovember 4, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…3,800$120$460.3K
    D2150Amalgam - two surfaces, primary or permanent1,850$90$159.4K
    D2392Post 2 surface resin‑based composite1,530$100$146.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,990$50$91.3K
    D0330N/A2,140$40$81.1K
    D0120Periodic oral evaluation - established patient3,310$20$79.5K
    D0150Comprehensive oral evaluation – new or established patient2,220$30$66.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3,670$20$66K
    D0274N/A2,600$30$65.1K
    D0210Intraoral - complete series of radiographic images890$70$60.2K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1120Prophylaxis–child101470230$30$85.3K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…440230$100$79.9K
    D0120Periodic oral evaluation - established patient116770540$30$75.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth104680340$50$72.5K
    D2392Post 2 surface resin‑based composite20110230$70$71.9K
    D2150Amalgam - two surfaces, primary or permanent33250180$80$71.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)199230200$70$69.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients40330270$20$61K
    D1351Sealant - per tooth99160380$30$59.5K
    D0272N/A150660410$20$54.9K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Dental Central Sa PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Gregory Kistler Treatment Center, Inc.ARVoluntary or Charitable Agency$0$28.3M
    Bost, Inc.ARCounselor$0$25.9M
    Mercy Clinic Fort Smith CommunitiesARMulti-Specialty Clinic/Center$0$24.1M
    Mercy Hospital Fort SmithARGeneral Acute Care Hospital$0$22.5M
    Western Arkansas Counseling & Guidance Center, IncARCommunity/Behavioral Health Agency$0$21.3M
    Arkansas Family Supports, Inc.ARIn Home Supportive Care Agency$0$15.6M
    Kids Unlimited Learning Academy Of Ft. SmithARRehabilitation Clinic/Center$0$10.5M
    1 Of A Kind In Home Care And Medical Services LLCARIn Home Supportive Care Agency$0$7M
    The Gregory Kistler Treatment Center, Inc.ARVoluntary or Charitable Agency$0$6.5M
    Little Hands At Play Therapy, LLCARPediatric Occupational Therapist$0$4.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Dental Central Sa PLLC — 3 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas