Dental
Sdpokc, PLLC
Sdpokc, PLLC was paid $1.87M by Medicaid between Aug 2021 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 36% of everything it billed.
33Billing provider infoSDPOKC, PLLC
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
33aNPI1245903053assigned 07/28/2021
33bProvider typeDentist
28Total paid$1.87M
24GClaims46,294
24DCodes billed27
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#15 of 150
Median peer was paid$154K
This provider vs. median12×
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 | 827 | $15K | |
| 2022 | 10,625 | $416K | |
| 2023 | 20,414 | $913K | |
| 2024incomplete | 14,428 | $526K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 36% | 5,791 | 1,383 | $670K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 3,214 | 1,284 | $206K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 5,059 | 4,867 | $149K |
| D1206 | Topical application of fluoride varnish | 5.0% | 5,501 | 5,297 | $94K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 4,192 | 4,014 | $85K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 4.3% | 323 | 311 | $81K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.9% | 835 | 392 | $73K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 4,625 | 4,431 | $68K |
| D2390 | 3.5% | 326 | 115 | $66K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 2,052 | 1,983 | $60K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 1,791 | 1,683 | $46K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 5,907 | 3,411 | $44K |
15 more codes
| D0272 | Bitewings - two radiographic images | 1.8% | 1,961 | $34K |
| D1351 | Sealant - per tooth | 1.5% | 1,224 | $29K |
| D9222 | 1.3% | 322 | $25K | |
| D0330 | Panoramic radiographic image | 1.3% | 530 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 240 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 397 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 697 | $21K |
| D9310 | 1.1% | 412 | $20K | |
| D1110 | Prophylaxis - adult | <1% | 285 | $12K |
| D9610 | <1% | 327 | $10K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 104 | $3K |
| D1354 | <1% | 25 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 38 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 83 | $1K |
| D0240 | <1% | 33 | $603.90 |
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 officialBROWN, SARA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Serenity Health & Wellness Corporation | Cleveland, OH | $282K |
| River Dental Van Buren PLLC | Van Buren, AR | $158K |
| Okc Prosth PLLC | Oklahoma City, OK | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.