Dental
Kickingbird Dental
Kickingbird Dental was paid $400K by Medicaid between Oct 2021 and Dec 2024, across 16 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoKICKINGBIRD DENTAL
EDMOND, OK 73034
EDMOND, OK 73034
33aNPI1174935142assigned 05/27/2014
33bProvider typeDentist
28Total paid$400K
24GClaims11,948
24DCodes billed16
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#51 of 150
Median peer was paid$154K
This provider vs. median2.6×
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
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 | 518 | $10K | |
| 2022 | 3,335 | $100K | |
| 2023 | 4,055 | $152K | |
| 2024incomplete | 4,040 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16% | 393 | 233 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 407 | 214 | $47K |
| D1110 | Prophylaxis - adult | 11% | 927 | 899 | $43K |
| D0274 | Bitewings - four radiographic images | 9.4% | 1,210 | 1,169 | $38K |
| D1206 | Topical application of fluoride varnish | 7.7% | 1,754 | 1,706 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 863 | 838 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 1,218 | 1,178 | $26K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.1% | 204 | 93 | $24K |
| D0330 | Panoramic radiographic image | 6.0% | 486 | 483 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 749 | 720 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 1,335 | 1,295 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 1,956 | 898 | $15K |
4 more codes
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 officialDUSSAULT, ASHLEY (OFFICE MANAGER)