Dental
OU Childrens Physicians Dental Service-Oucp Dental Service
OU Childrens Physicians Dental Service-Oucp Dental Service was paid $519K by Medicaid between Oct 2021 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoOU CHILDRENS PHYSICIANS DENTAL SERVICE-OUCP DENTAL SERVICE
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
33aNPI1013938117assigned 07/22/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$519K
24GClaims18,945
24DCodes billed19
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#80 of 284
Median peer was paid$172K
This provider vs. median3.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,314 | $33K | |
| 2022 | 6,816 | $186K | |
| 2023 | 5,695 | $179K | |
| 2024incomplete | 5,120 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,228 | 3,112 | $68K |
| D1206 | Topical application of fluoride varnish | 12% | 3,776 | 3,661 | $64K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,063 | 1,994 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 869 | 285 | $57K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 449 | 268 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.2% | 820 | 473 | $48K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.1% | 267 | 61 | $32K |
| D1110 | Prophylaxis - adult | 5.0% | 572 | 548 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 1,668 | 1,619 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 884 | 852 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 2,430 | 1,155 | $18K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 472 | 458 | $14K |
7 more codes
| D0272 | Bitewings - two radiographic images | 2.2% | 617 | $11K |
| D0330 | Panoramic radiographic image | 1.7% | 183 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 170 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 87 | $3K |
| D0603 | <1% | 270 | $2K | |
| D1351 | Sealant - per tooth | <1% | 80 | $2K |
| D3120 | <1% | 40 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCIESLA, DAVID (PROGRAM DIRECTOR)