Dental
Edmond Pediatric and Teen Dentistry
Edmond Pediatric and Teen Dentistry was paid $2.76M by Medicaid between Jan 2018 and Jun 2023, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoEDMOND PEDIATRIC AND TEEN DENTISTRY
EDMOND, OK 73013
EDMOND, OK 73013
33aNPI1235419409assigned 08/19/2011
33bProvider typePediatric Dentist
28Total paid$2.76M
24GClaims81,076
24DCodes billed26
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Pediatric Dentist providers in Oklahoma
Rank by total paid#7 of 32
Median peer was paid$804K
This provider vs. median3.4×
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 | 26,404 | $868K | |
| 2019 | 22,539 | $763K | |
| 2020 | 14,062 | $525K | |
| 2021 | 12,271 | $491K | |
| 2022 | 4,059 | $82K | |
| 2023 | 1,741 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 8,102 | 1,393 | $903K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 13,870 | 13,870 | $339K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 16,020 | 16,020 | $272K |
| D2932 | 6.4% | 1,329 | 338 | $177K | |
| D1206 | Topical application of fluoride varnish | 6.4% | 14,396 | 14,392 | $176K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 2,771 | 951 | $169K |
| D0272 | Bitewings - two radiographic images | 4.2% | 7,727 | 7,727 | $115K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 1,061 | 574 | $90K |
| D1110 | Prophylaxis - adult | 3.1% | 2,320 | 2,320 | $87K |
| D0330 | Panoramic radiographic image | 2.6% | 1,710 | 1,710 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 881 | 382 | $72K |
| D2390 | 2.4% | 331 | 82 | $66K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 2.0% | 1,987 | $56K |
| D0240 | 1.8% | 3,074 | $51K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,724 | $24K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 765 | $18K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,323 | $18K |
| D2330 | <1% | 209 | $12K | |
| D9310 | <1% | 279 | $12K | |
| D3120 | <1% | 306 | $9K | |
| D1351 | Sealant - per tooth | <1% | 376 | $8K |
| D3240 | <1% | 71 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 235 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 101 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 33 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 75 | $548.64 |
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 officialWHITFIELD, HEATH (OWNER, PRESIDENT, OFFICER)