Clinic
Mark R Doherty DDS PC
Mark R Doherty DDS PC was paid $2K by Medicaid between Jan 2018 and Jul 2018, across 3 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 46% of everything it billed.
33Billing provider infoMARK R DOHERTY DDS PC
PRYOR, OK 74361
PRYOR, OK 74361
33aNPI1285147694assigned 11/07/2017
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims127
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#100 of 112
Median peer was paid$86K
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 | |
|---|---|---|---|
| 2018 | 127 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 46% | 80 | 80 | $1K |
| D1110 | Prophylaxis - adult | 29% | 17 | 17 | $718.93 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 30 | 30 | $592.20 |
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 officialDOHERTY, MARK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Commonwealth Mobile Oral Health Services, LLC | Lakeville, MA | $5.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.