Coweta Family Dental

Coweta Family Dental was paid $6K by Medicaid between Oct 2021 and Jan 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoCOWETA FAMILY DENTAL
COWETA, OK 74429

33aNPI1225476716assigned 06/06/2013

33bProvider typeDentist

28Total paid$6K

24GClaims392

24DCodes billed6

24AFirst – last monthOct 2021 – Jan 2023

Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#123 of 150

Median peer was paid$154K

This provider vs. median0.0×

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	208	$4K
2022	171	$3K
2023	13	$131.73

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	111	111	$2K
D1206	Topical application of fluoride varnish	28%	124	123	$2K
D1110	Prophylaxis - adult	18%	27	27	$1K
D0220	Intraoral - periapical first radiographic image	13%	65	65	$822.96
D0230	Intraoral - periapical each additional radiographic image	5.6%	53	43	$358.14
D1120	Dental cleaning, childProphylaxis - child	4.3%	12	12	$274.50

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 officialWARLICK, CHRISTIE (OFFICE MANAGER)