Dental
Okc 89TH Dental, PLLC
Okc 89TH Dental, PLLC was paid $962K by Medicaid between Oct 2021 and Dec 2024, across 20 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoOKC 89TH DENTAL, PLLC
OKLAHOMA CITY, OK 73139
OKLAHOMA CITY, OK 73139
33aNPI1215470497assigned 11/21/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$962K
24GClaims29,539
24DCodes billed20
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#56 of 284
Median peer was paid$172K
This provider vs. median5.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
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 | 1,736 | $37K | |
| 2022 | 9,607 | $261K | |
| 2023 | 9,244 | $303K | |
| 2024incomplete | 8,952 | $361K |
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 | 13% | 836 | 505 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 964 | 571 | $116K |
| D1110 | Prophylaxis - adult | 9.2% | 2,005 | 1,937 | $89K |
| D1354 | 9.0% | 1,136 | 30 | $87K | |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 4,491 | 4,355 | $67K |
| D1206 | Topical application of fluoride varnish | 7.0% | 3,944 | 3,787 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 3,059 | 2,944 | $64K |
| D0330 | Panoramic radiographic image | 6.3% | 1,274 | 1,247 | $61K |
| D0274 | Bitewings - four radiographic images | 5.8% | 1,868 | 1,783 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 1,694 | 1,621 | $51K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.9% | 398 | 138 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 4,494 | 3,926 | $34K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 991 | $29K |
| D0350 | 2.5% | 790 | $24K | |
| D1351 | Sealant - per tooth | 1.5% | 591 | $14K |
| D0272 | Bitewings - two radiographic images | 1.0% | 538 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 307 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 74 | $4K |
| D2335 | <1% | 19 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 66 | $2K |
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 officialCARDON, CREED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mco Peds PLLC | Jenks, OK | $2.51M |
| Oklahoma City Dental SW, PLLC | Oklahoma City, OK | $1.24M |
| Summer Dental Stillwater, PLLC | Stillwater, OK | $1.22M |
| Sapulpa Kids Dental PLLC | Sapulpa, OK | $1.12M |
| Spring Orthodontics Tulsa | Tulsa, OK | $1.03M |
| Spring Dental Collinsville, PLLC | Collinsville, OK | $1.01M |
| Tulsa Kids Dental PLLC | Tulsa, OK | $857K |
| Witchita 21ST Dental, PA | Wichita, KS | $802K |
| Summer Dental Midwest City, PLLC | Midwest City, OK | $454K |
| Spring Dental Vinita, PLLC | Vinita, OK | $371K |
| River Dental Siloam Springs, PLLC | Siloam Springs, AR | $267K |
| Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC | Tulsa, OK | $194K |
| Cottonwood Dental Maize, PA | Wichita, KS | $186K |
| Redbud Dental Edmond, PLLC | Edmond, OK | $157K |
| Dental Care of Wichita PA | Wichita, KS | $73K |
| River Dental Rogers South, PLLC | Rogers, AR | $66K |
| River Dental Rogers, PLLC | Rogers, AR | $61K |
| Marion Family Smiles, P.A. | Marion, KS | $56K |
| Owasso Pediatric Dentistry, PLLC | Owasso, OK | $45K |
| Willow Dental Bellevue, LLC | Bellevue, NE | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.