Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAPULPA KIDS DENTAL PLLC

NPI: 1285202580 · SAPULPA, OK 74066 · Dental Clinic/Center · NPI assigned 06/14/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$1.12M
Total Medicaid Paid
34,403
Total Claims
26,912
Beneficiaries
22
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARDON, CREED (OWNER)
NPI Enumeration Date06/14/2021

Related Entities

Other providers sharing the same authorized official: CARDON, CREED

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 4,369 $141K
2022 10,935 $325K
2023 12,092 $443K
2024 7,007 $211K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,947 1,086 $203K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,134 627 $168K
D1110 Prophylaxis - adult 1,820 1,795 $79K
D1120 Prophylaxis - child 2,304 2,255 $68K
D1206 Topical application of fluoride varnish 4,062 3,981 $67K
D0330 Panoramic radiographic image 1,365 1,342 $64K
D0120 Periodic oral evaluation - established patient 3,129 3,071 $64K
D0274 Bitewings - four radiographic images 2,051 2,030 $60K
D7140 Extraction, erupted tooth or exposed root 870 333 $57K
D0220 Intraoral - periapical first radiographic image 3,424 3,348 $50K
D0230 Intraoral - periapical each additional radiographic image 6,616 2,524 $50K
D2391 Resin-based composite - one surface, posterior, primary or permanent 717 461 $41K
D0150 Comprehensive oral evaluation - new or established patient 1,270 1,243 $37K
D0350 862 860 $25K
D1351 Sealant - per tooth 817 222 $19K
D1354 245 50 $19K
D0140 Limited oral evaluation - problem focused 642 629 $18K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 481 438 $13K
D2394 44 32 $7K
D0272 Bitewings - two radiographic images 404 398 $7K
D1208 Topical application of fluoride, excluding varnish 175 175 $3K
D2331 24 12 $2K