Dental
Comfort Dental of Sapulpa PLLC
Comfort Dental of Sapulpa PLLC was paid $11K by Medicaid between Jan 2018 and Nov 2018, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoCOMFORT DENTAL OF SAPULPA PLLC
SAPULPA, OK 74066
SAPULPA, OK 74066
33aNPI1063694883assigned 12/04/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims539
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#228 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 | |
|---|---|---|---|
| 2018 | 539 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 189 | 189 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 120 | 120 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 160 | 160 | $2K |
| D0330 | Panoramic radiographic image | 9.4% | 25 | 25 | $1K |
| D1110 | Prophylaxis - adult | 4.6% | 13 | 13 | $507.48 |
| D0274 | Bitewings - four radiographic images | 4.4% | 20 | 20 | $479.40 |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 12 | 12 | $310.20 |
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 officialRODGERS, RENE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Custom Dental of Newcastle, PLLC | Newcastle, OK | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.