Clinic
Spring Dental Henryetta, PLLC
Spring Dental Henryetta, PLLC was paid $953K by Medicaid between Oct 2021 and Dec 2024, across 23 billing codes. Its largest line is D1354, — 16% of everything it billed.
33Billing provider infoSPRING DENTAL HENRYETTA, PLLC
HENRYETTA, OK 74437
HENRYETTA, OK 74437
33aNPI1033774575assigned 05/09/2019
33bProvider typeDental Clinic/Center
28Total paid$953K
24GClaims24,202
24DCodes billed23
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#18 of 112
Median peer was paid$86K
This provider vs. median11×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCBAY, RENEE controls 20+ related entities in our dataset. Read more
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 | 2,136 | $72K | |
| 2022 | 7,767 | $331K | |
| 2023 | 8,254 | $341K | |
| 2024incomplete | 6,045 | $210K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 16% | 2,065 | 263 | $156K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 907 | 514 | $131K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,195 | 667 | $123K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.7% | 679 | 188 | $83K |
| D1110 | Prophylaxis - adult | 6.2% | 1,385 | 1,376 | $59K |
| D0330 | Panoramic radiographic image | 5.2% | 1,046 | 1,042 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 1,579 | 1,569 | $46K |
| D1206 | Topical application of fluoride varnish | 4.8% | 2,766 | 2,750 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 1,959 | 1,953 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 2,615 | 2,584 | $39K |
| D0274 | Bitewings - four radiographic images | 3.6% | 1,164 | 1,162 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 1,145 | 1,132 | $34K |
11 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 3,650 | $27K |
| D2394 | 2.0% | 119 | $19K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 278 | $16K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 434 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 184 | $11K |
| D0350 | <1% | 290 | $9K | |
| D0272 | Bitewings - two radiographic images | <1% | 420 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 260 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 29 | $2K |
| D2332 | <1% | 19 | $2K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $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 officialMCBAY, RENEE (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| MBC Dental | Tulsa, OK | $7.43M |
| Okc Dental | Oklahoma City, OK | $7.13M |
| Spring Dental Specialty, PLLC | Tulsa, OK | $3.83M |
| Moc Joplin, PLLC | Joplin, MO | $2.47M |
| Spring Dental Okmulgee PLLC | Okmulgee, OK | $2.21M |
| Spring Dental Bartlesville | Bartlesville, OK | $2.07M |
| Spring Dental Pryor | Pryor, OK | $1.68M |
| Spring Dental Muskogee, PLLC | Muskogee, OK | $1.55M |
| Spring Dental Claremore | Claremore, OK | $1.07M |
| Spring Innovations Ok PC | Sand Springs, OK | $890K |
| Spring Dental Bixby PLLC | Bixby, OK | $857K |
| Summer Dental Norman | Norman, OK | $785K |
| Spring Dental East Tulsa | Tulsa, OK | $688K |
| Spring Dental Cleveland, PLLC | Cleveland, OK | $673K |
| Spring Dental-Peoria, PLLC | Tulsa, OK | $633K |
| Summer Dental Yukon, PLLC | Yukon, OK | $513K |
| Summer Dental Moore PLLC | Moore, OK | $341K |
| Spring Dental-Broken Arrow | Broken Arrow, OK | $238K |
| Wedington Dental, PLLC | Fayetteville, AR | $207K |
| Spring Dental Springdale | Springdale, AR | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.