Dental
Muskogee Pediatric Dental PLLC
Muskogee Pediatric Dental PLLC was paid $1.82M by Medicaid between Mar 2022 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.
33Billing provider infoMUSKOGEE PEDIATRIC DENTAL PLLC
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
33aNPI1265198410assigned 11/11/2021
33bProvider typeDentist
28Total paid$1.82M
24GClaims41,410
24DCodes billed27
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#16 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 | |
|---|---|---|---|
| 2022 | 8,139 | $390K | |
| 2023 | 16,975 | $851K | |
| 2024incomplete | 16,296 | $575K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 21% | 3,258 | 775 | $385K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 18% | 733 | 727 | $323K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,872 | 703 | $213K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 4,801 | 4,617 | $142K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 1,752 | 708 | $114K |
| D1206 | Topical application of fluoride varnish | 4.9% | 5,053 | 4,859 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 2,958 | 2,830 | $61K |
| D9222 | 3.1% | 732 | 727 | $57K | |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 3,665 | 3,501 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 1,748 | 1,688 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 6,365 | 2,982 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 631 | 398 | $37K |
15 more codes
| D1351 | Sealant - per tooth | 2.0% | 1,555 | $36K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,665 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 1,111 | $29K |
| D0330 | Panoramic radiographic image | 1.3% | 489 | $23K |
| D9610 | 1.2% | 730 | $22K | |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 685 | $20K |
| D9310 | 1.0% | 389 | $18K | |
| D1510 | <1% | 153 | $18K | |
| D0274 | Bitewings - four radiographic images | <1% | 438 | $13K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 369 | $11K |
| D2390 | <1% | 34 | $7K | |
| D1110 | Prophylaxis - adult | <1% | 106 | $4K |
| D2331 | <1% | 45 | $4K | |
| D1354 | <1% | 37 | $3K | |
| D2330 | <1% | 36 | $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 officialDEMMY, ANNE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| River Dental Farmington, PLLC | Farmington, AR | $37K |
| Fountainview Dental Harrisonville PLLC | Harrisonville, MO | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.