Clinic
Oak Haven Dental
Oak Haven Dental was paid $108K by Medicaid between Jan 2019 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoOAK HAVEN DENTAL
LANDER, WY 82520
LANDER, WY 82520
33aNPI1033699533assigned 08/15/2018
33bProvider typeDental Clinic/Center
28Total paid$108K
24GClaims3,070
24DCodes billed11
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wyoming
Rank by total paid#2 of 18
Median peer was paid$7K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 286 | $9K | |
| 2020 | 197 | $7K | |
| 2021 | 356 | $12K | |
| 2022 | 875 | $28K | |
| 2023 | 765 | $28K | |
| 2024incomplete | 591 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 534 | 523 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 752 | 740 | $25K |
| D1206 | Topical application of fluoride varnish | 22% | 734 | 723 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 490 | 480 | $16K |
| D0274 | Bitewings - four radiographic images | 8.4% | 288 | 277 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 70 | 70 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 134 | 124 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 22 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21 | 12 | $341.20 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $292.50 |
| D9986 | 0% | 13 | 13 | $0.00 |
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 officialJAY, CHARLOTTE (FRONT OFFICE)
Parent organizationOAK HAVEN DENTAL LANDER