Dental
Lakehaven Dental P.C
Lakehaven Dental P.C was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoLAKEHAVEN DENTAL P.C
GROVE, OK 74344
GROVE, OK 74344
33aNPI1215152608assigned 04/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.67M
24GClaims44,232
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#39 of 284
Median peer was paid$172K
This provider vs. median9.7×
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 | 6,974 | $233K | |
| 2019 | 8,207 | $305K | |
| 2020 | 5,407 | $199K | |
| 2021 | 6,540 | $222K | |
| 2022 | 6,387 | $246K | |
| 2023 | 6,075 | $262K | |
| 2024incomplete | 4,642 | $207K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 5,220 | 2,973 | $525K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 5,256 | 5,213 | $157K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 6,927 | 6,851 | $145K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.4% | 821 | 556 | $108K |
| D1110 | Prophylaxis - adult | 6.3% | 2,326 | 2,290 | $105K |
| D0274 | Bitewings - four radiographic images | 5.6% | 3,113 | 3,080 | $93K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.2% | 3,276 | 2,921 | $87K |
| D0330 | Panoramic radiographic image | 5.0% | 1,754 | 1,752 | $83K |
| D1206 | Topical application of fluoride varnish | 4.9% | 5,039 | 4,962 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 1,287 | 912 | $77K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 804 | 473 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 2,696 | 2,696 | $39K |
5 more codes
| D0140 | Limited oral evaluation - problem focused | 1.9% | 1,048 | $31K |
| D0272 | Bitewings - two radiographic images | 1.8% | 1,640 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,778 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 692 | $21K |
| D1351 | Sealant - per tooth | <1% | 555 | $13K |
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 officialHACKER, STEFAN (PRESIDENT)