Dental
Oklahoma Dental-South
Oklahoma Dental-South was paid $11K by Medicaid between Sep 2022 and Oct 2024, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 33% of everything it billed.
33Billing provider infoOKLAHOMA DENTAL-SOUTH
OKLAHOMA CITY, OK 73159
OKLAHOMA CITY, OK 73159
33aNPI1043370513assigned 12/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims401
24DCodes billed7
24AFirst – last monthSep 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#229 of 284
Median peer was paid$172K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 82 | $2K | |
| 2023 | 207 | $6K | |
| 2024incomplete | 112 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 33% | 201 | 191 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 24 | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 66 | 66 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 39 | 39 | $804.15 |
| D1110 | Prophylaxis - adult | 6.7% | 15 | 15 | $699.84 |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 42 | 41 | $590.88 |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 14 | 14 | $420.68 |
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 officialCASTEEL, DIANE (INSURANCE COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Oklahoma Dental-Del City | Del City, OK | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.