Impressions Dental

Impressions Dental was paid $8K by Medicaid between Jan 2018 and May 2018, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.

33Billing provider infoIMPRESSIONS DENTAL
SHAWNEE, OK 74804

33aNPI1144494147assigned 04/22/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims383

24DCodes billed5

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#237 of 284

Median peer was paid$172K

This provider vs. median0.0×

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	383	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	36%	103	103	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	119	119	$2K
D1208	Topical application of fluoride, excluding varnish	24%	131	131	$2K
D1110	Prophylaxis - adult	6.6%	12	12	$507.48
D0272	Bitewings - two radiographic images	4.0%	18	18	$304.56

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 officialELLIS, RENALLA (OWNER)