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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSmiles Of Arkansas Dental Center, PLLC
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    Smiles Of Arkansas Dental Center, PLLC — Billing Profile & Reimbursement Data

    NPI 1316234636 · Texarkana, AR · General Practice Dentistry

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    Smiles Of Arkansas Dental Center, PLLC is a general practice dentistry provider located in Texarkana, Arkansas. This profile covers 0 Medicare and 32 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
    OrganizationSmiles Of Arkansas Dental Center, PLLC
    Address1621 Arkansas Blvd
    CityTexarkana
    StateAR
    ZIP71854
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 7, 2011

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient12,020$30$312.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth6,730$50$309.7K
    D1120Prophylaxis–child6,590$30$224.1K
    D0220Intraoral - periapical first radiographic image13,840$20$207.6K
    D0272N/A9,320$20$204.9K
    D0240N/A8,710$20$191.7K
    D2392Post 2 surface resin‑based composite2,070$80$169.6K
    D2150Amalgam - two surfaces, primary or permanent1,840$80$139.7K
    D1351Sealant - per tooth5,290$30$137.6K
    D9230N/A5,160$30$129.1K

    Showing 1–10 of 32

    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

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A52110570$130$481.4K
    D0240N/A15801,810$20$140.8K
    D1120Prophylaxis–child38470230$30$85.3K
    D0120Periodic oral evaluation - established patient39770540$30$75.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth33680340$50$72.5K
    D2392Post 2 surface resin‑based composite13110230$70$71.9K
    D2150Amalgam - two surfaces, primary or permanent34250180$80$71.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients26330270$20$61K
    D1351Sealant - per tooth10160380$30$59.5K
    D0272N/A39660410$20$54.9K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Smiles Of Arkansas Dental Center, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smiles Of Arkansas Dental Center, PLLCARGeneral Practice Dentistry$0$7M
    Smiles Of Arkansas Dental Center, PLLCARGeneral Practice Dentistry$0$5.9M
    Smiles Of Arkansas Dental Center, PLLCARGeneral Practice Dentistry$0$4.6M

    Nearby Providers

    Other providers in the same ZIP code as Smiles Of Arkansas Dental Center, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Arkansas Counseling And Mental Health Center, IncARCommunity/Behavioral Health Agency$0$15.5M
    East Texas Border Health ClinicARFederally Qualified Health Center (FQHC)$0$7.4M
    Special Health Resources For Texas, Inc.ARFederally Qualified Health Center (FQHC)$0$3.9M
    Home Delivery Incontinent Supplies Co IncARDurable Medical Equipment & Medical Supplies$0$3.9M
    Dierksen Of Texarkana Arkansas LLCARCommunity Based Hospice Care Agency$0$3.2M
    Texarkana Resources For The Disabled, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$2.7M
    East Texas Border Health ClinicARFederally Qualified Health Center (FQHC)$0$2.4M
    Southern Caregivers Of Texarkana, LLCARIn Home Supportive Care Agency$0$2.2M
    University Of Arkansas For Medical SciencesARFamily Medicine Physician$0$1.5M
    Kanayo Okeke-eweniARFamily Medicine Physician$279K$0

    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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Smiles Of Arkansas Dental Center, PLLC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas