DR. DALTON DAILEY D.D.S.
NPI 1790848497
Dentist - General Practice in Little Rock, AR

NPI Status: Active since December 18, 2006

Contact Information

17200 CHENAL PKWY STE 250
LITTLE ROCK, AR
ZIP 72223
Phone: (501) 448-0032
Fax: (501) 448-0068

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About DALTON DAILEY

This page provides the complete NPI Profile along with additional information for Dalton Dailey, a provider established in Little Rock, Arkansas with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1790848497 assigned on December 2006. The practitioner's primary taxonomy code is 1223G0001X with license number AR3224 (AR). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1790848497
Provider Name
DR. DALTON DAILEY D.D.S.
Gender
Male
Entity Type
Individual
Location Address
17200 CHENAL PKWY STE 250 LITTLE ROCK, AR 72223
Location Phone
(501) 448-0032
Location Fax
(501) 448-0068
Mailing Address
17200 CHENAL PKWY STE 400 LITTLE ROCK, AR 72223
Mailing Phone
(501) 448-0032
Mailing Fax
(501) 448-0068
Is Sole Proprietor?
Yes
Enumeration Date
12-18-2006
Last Update Date
03-06-2020
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A dentist like Dalton Dailey is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Dalton Dailey opted out of Medicare effective on 05-09-2016 until 05-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
AR3224
License State
AR
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Delta Dental Family Gold Plan - PPO
  • Delta Dental Family Silver Plan - PPO
  • Delta Dental Family Silver Plus Plan - PPO
  • Delta Dental Pediatric Gold Plan - PPO
  • Delta Dental Pediatric Silver Plan - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Dalton Dailey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-09-2016

  • Opt-Out End Date: 05-09-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72223 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $79.72
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $19.93
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $64.56
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $16.14
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DALTON DAILEY D.D.S.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790848497
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718016416418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 4 + 1 + 6 + 4 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1790848497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497447197 KIRSTAN LEIGH HYSER DDS
Individual
Dentist (General Practice)17200 CHENAL PKWY STE 250
LITTLE ROCK, AR 72223
(501) 448-0032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790848497, enumerated in the NPI registry as an "individual" on December 18, 2006

The provider is located at 17200 Chenal Pkwy Ste 250 Little Rock, Ar 72223 and the phone number is (501) 448-0032

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $79.72 with an average copayment of $19.93 for new patient appointments. Established patients should expect a typical charge of $64.56 and an average copayment of 16.14. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on May 09, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 09, 2026.

This NPI record was last updated on December 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.