Clinic
Northern Oklahoma Dental Associates PLLC
Northern Oklahoma Dental Associates PLLC was paid $543K by Medicaid between Jan 2018 and Dec 2021, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoNORTHERN OKLAHOMA DENTAL ASSOCIATES PLLC
BLACKWELL, OK 74631
BLACKWELL, OK 74631
33aNPI1205370194assigned 12/12/2016
33bProvider typeDental Clinic/Center
28Total paid$543K
24GClaims26,458
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#28 of 112
Median peer was paid$86K
This provider vs. median6.3×
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 | 5,281 | $111K | |
| 2019 | 6,685 | $142K | |
| 2020 | 4,455 | $68K | |
| 2021 | 10,037 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,324 | 2,324 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 716 | 345 | $61K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 8,386 | 2,981 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 2,524 | 2,524 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 8.9% | 3,402 | 3,362 | $49K |
| D1110 | Prophylaxis - adult | 5.4% | 716 | 716 | $29K |
| D1206 | Topical application of fluoride varnish | 4.8% | 1,796 | 1,796 | $26K |
| D0330 | Panoramic radiographic image | 4.5% | 537 | 537 | $24K |
| D0274 | Bitewings - four radiographic images | 4.1% | 800 | 800 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 382 | 210 | $20K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 708 | 697 | $20K |
| D9248 | 3.6% | 151 | 143 | $19K |
13 more codes
| D0240 | 3.5% | 1,080 | $19K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 1,281 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 455 | $11K |
| D1351 | Sealant - per tooth | 2.0% | 462 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.8% | 88 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 130 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 269 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 21 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 145 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $457.50 |
| D9610 | <1% | 13 | $396.50 | |
| D0350 | <1% | 13 | $319.55 |
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 officialVIER, APRIL (COO)