Dental
Affordable Dentistry
Affordable Dentistry was paid $76K by Medicaid between Sep 2018 and Dec 2023, across 11 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 22% of everything it billed.
33Billing provider infoAFFORDABLE DENTISTRY
YUKON, OK 73099
YUKON, OK 73099
33aNPI1316432040assigned 06/25/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$76K
24GClaims3,594
24DCodes billed11
24AFirst – last monthSep 2018 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#171 of 284
Median peer was paid$172K
This provider vs. median0.4×
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 | 157 | $3K | |
| 2019 | 788 | $17K | |
| 2020 | 375 | $7K | |
| 2021 | 444 | $10K | |
| 2022 | 783 | $17K | |
| 2023 | 1,047 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 22% | 1,061 | 1,061 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 738 | 738 | $15K |
| D1110 | Prophylaxis - adult | 19% | 312 | 312 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 592 | 586 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 234 | 234 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 71 | 39 | $6K |
| D0274 | Bitewings - four radiographic images | 4.6% | 114 | 114 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 389 | 373 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 36 | 27 | $940.68 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 17 | 17 | $496.48 |
| D0272 | Bitewings - two radiographic images | <1% | 30 | 30 | $488.04 |
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 officialTATE, RAY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Canadian Valley Dentistry PLLC | El Reno, OK | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.