Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Aurora Pediatric Dentistry

Aurora Pediatric Dentistry was paid $443K by Medicaid between Feb 2023 and Dec 2024, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 47% of everything it billed.

33Billing provider infoAURORA PEDIATRIC DENTISTRY
OKLAHOMA CITY, OK 73120
33aNPI1083325443assigned 12/07/2022
33bProvider typePediatric Dentist
28Total paid$443K
24GClaims9,765
24DCodes billed19
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Oklahoma

Rank by total paid#20 of 32
Median peer was paid$804K
This provider vs. median0.6×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20235,023$281K
2024incomplete4,742$162K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 47% 1,767 400 $207K
D1120 Dental cleaning, childProphylaxis - child 9.8% 1,436 1,338 $43K
D7140 Extraction, erupted tooth or exposed root 7.9% 539 238 $35K
D1206 Topical application of fluoride varnish 5.8% 1,408 1,306 $25K
D9310 4.6% 418 398 $20K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.1% 846 786 $18K
D0150 Comprehensive oral evaluation - new or established patient 3.0% 442 411 $13K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 2.9% 52 52 $13K
D0140 Limited oral evaluation - problem focused 2.4% 356 330 $11K
D0220 Intraoral - periapical first radiographic image 2.4% 705 641 $11K
D1354 2.4% 142 62 $10K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.4% 389 363 $10K
7 more codes
D0272 Bitewings - two radiographic images 2.3% 553 $10K
D1351 Sealant - per tooth 1.1% 207 $5K
D9222 <1% 52 $4K
D0230 Intraoral - periapical each additional radiographic image <1% 370 $3K
D9610 <1% 52 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 16 $975.68
D0330 Panoramic radiographic image <1% 15 $731.70

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 officialRICHARDSON, ADAM (PEDIATRIC DENTIST/OWNER)