Clinic
Sapulpa Kids Dental PLLC
Sapulpa Kids Dental PLLC was paid $1.12M by Medicaid between Jul 2021 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoSAPULPA KIDS DENTAL PLLC
SAPULPA, OK 74066
SAPULPA, OK 74066
33aNPI1285202580assigned 06/14/2021
33bProvider typeDental Clinic/Center
28Total paid$1.12M
24GClaims34,403
24DCodes billed22
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#14 of 112
Median peer was paid$86K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
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 | 4,369 | $141K | |
| 2022 | 10,935 | $325K | |
| 2023 | 12,092 | $443K | |
| 2024incomplete | 7,007 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 1,947 | 1,086 | $203K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 15% | 1,134 | 627 | $168K |
| D1110 | Prophylaxis - adult | 7.0% | 1,820 | 1,795 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 2,304 | 2,255 | $68K |
| D1206 | Topical application of fluoride varnish | 6.0% | 4,062 | 3,981 | $67K |
| D0330 | Panoramic radiographic image | 5.7% | 1,365 | 1,342 | $64K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 3,129 | 3,071 | $64K |
| D0274 | Bitewings - four radiographic images | 5.4% | 2,051 | 2,030 | $60K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 870 | 333 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 3,424 | 3,348 | $50K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 6,616 | 2,524 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 717 | 461 | $41K |
10 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,270 | $37K |
| D0350 | 2.3% | 862 | $25K | |
| D1351 | Sealant - per tooth | 1.7% | 817 | $19K |
| D1354 | 1.7% | 245 | $19K | |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 642 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 481 | $13K |
| D2394 | <1% | 44 | $7K | |
| D0272 | Bitewings - two radiographic images | <1% | 404 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 175 | $3K |
| D2331 | <1% | 24 | $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 officialCARDON, CREED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mco Peds PLLC | Jenks, OK | $2.51M |
| Oklahoma City Dental SW, PLLC | Oklahoma City, OK | $1.24M |
| Summer Dental Stillwater, PLLC | Stillwater, OK | $1.22M |
| Spring Orthodontics Tulsa | Tulsa, OK | $1.03M |
| Spring Dental Collinsville, PLLC | Collinsville, OK | $1.01M |
| Okc 89TH Dental, PLLC | Oklahoma City, OK | $962K |
| Tulsa Kids Dental PLLC | Tulsa, OK | $857K |
| Witchita 21ST Dental, PA | Wichita, KS | $802K |
| Summer Dental Midwest City, PLLC | Midwest City, OK | $454K |
| Spring Dental Vinita, PLLC | Vinita, OK | $371K |
| River Dental Siloam Springs, PLLC | Siloam Springs, AR | $267K |
| Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC | Tulsa, OK | $194K |
| Cottonwood Dental Maize, PA | Wichita, KS | $186K |
| Redbud Dental Edmond, PLLC | Edmond, OK | $157K |
| Dental Care of Wichita PA | Wichita, KS | $73K |
| River Dental Rogers South, PLLC | Rogers, AR | $66K |
| River Dental Rogers, PLLC | Rogers, AR | $61K |
| Marion Family Smiles, P.A. | Marion, KS | $56K |
| Owasso Pediatric Dentistry, PLLC | Owasso, OK | $45K |
| Willow Dental Bellevue, LLC | Bellevue, NE | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.