CMH Dental

CMH Dental was paid $30K by Medicaid between Jan 2018 and Aug 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.

33Billing provider infoCMH DENTAL
YUKON, OK 73099

33aNPI1184895153assigned 03/18/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$30K

24GClaims1,218

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#205 of 284

Median peer was paid$172K

This provider vs. median0.2×

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	625	$15K
2019	308	$8K
2020	204	$5K
2021	81	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	46%	668	668	$14K
D1120	Dental cleaning, childProphylaxis - child	28%	285	285	$8K
D1110	Prophylaxis - adult	16%	113	113	$5K
D1208	Topical application of fluoride, excluding varnish	4.7%	98	98	$1K
D0330	Panoramic radiographic image	2.4%	16	16	$721.60
D0272	Bitewings - two radiographic images	1.4%	25	25	$423.00
D0150	Comprehensive oral evaluation - new or established patient	1.2%	13	13	$364.60

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 officialHOUSLEY, COURTNEY (OWNER)