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    OpenPayerNPI Medicare & MedicaidRiver Valley Pediatric Dentistry PLLC
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    River Valley Pediatric Dentistry PLLC — Billing Profile & Reimbursement Data

    NPI 1487775011 · Fort Smith, AR · Pediatric Dentistry

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    River Valley Pediatric Dentistry PLLC is a pediatric dentistry provider located in Fort Smith, Arkansas. This profile covers 0 Medicare and 27 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
    OrganizationRiver Valley Pediatric Dentistry PLLC
    Address417 S 16th St
    CityFort Smith
    StateAR
    ZIP72901
    TaxonomyPediatric Dentistry
    NPI EnumeratedApril 2, 2007

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

    Payer SourceTotal Paid
    Medicaid$9.7M
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A18,290$130$2.3M
    D0120Periodic oral evaluation - established patient57,080$30$1.4M
    D1120Prophylaxis–child36,920$30$1.2M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth14,130$50$635.8K
    D1208Topical application of fluoride - excluding varnish31,520$20$567.3K
    D0272N/A24,070$20$505.5K
    D8670N/A4,170$110$446.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)6,340$60$399.1K
    D2140Amalgam - one surface, primary or permanent4,590$60$280.2K
    D0240N/A12,000$20$276K

    Showing 1–10 of 27

    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

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8080N/A2830220$650$989.4K
    D8670N/A15601,100$110$552K
    D2930N/A4110570$130$481.4K
    D0240N/A11801,810$20$140.8K
    D3220N/A860250$80$124.5K
    D9248N/A1150440$90$123.6K
    D2934N/A410430$130$106.2K
    D1120Prophylaxis–child4470230$30$85.3K
    D0120Periodic oral evaluation - established patient4770540$30$75.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth11680340$50$72.5K

    Showing 1–10 of 27

    Nearby Providers

    Other providers in the same ZIP code as River Valley Pediatric Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vent S Murphy Dds Ms PLLCARPediatric Dentistry$0$19.7M
    Baptist Health Regional HospitalsARGeneral Acute Care Hospital$0$17.5M
    Baptist Health ServicesARFamily Medicine Physician$0$9.9M
    University Of Arkansas For Medical SciencesARDevelopmental - Behavioral Pediatrics Physician$0$9.2M
    Lhcg Civ, LLCARIn Home Supportive Care Agency$0$5.2M
    Abilities Unlimited Of Fort Smith IncARNon-emergency Medical Transport (VAN)$0$4.9M
    Area Agency On Aging Of Western Arkansas, IncARHome Health Agency$0$3.9M
    University Of Arkansas For Medical SciencesARFamily Medicine Physician$0$3M
    Fort Smith Hma, LLCARGeneral Acute Care Hospital$0$2.4M
    Area Agency On Aging Of Western Arkansas, IncARHome Health Agency$0$1.8M

    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
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    River Valley Pediatric Dentistry PLLC — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas