Dental
South Sooner Dental Partners
South Sooner Dental Partners was paid $392K by Medicaid between Oct 2021 and Nov 2024, across 14 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 18% of everything it billed.
33Billing provider infoSOUTH SOONER DENTAL PARTNERS
MOORE, OK 73160
MOORE, OK 73160
33aNPI1316458383assigned 10/18/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$392K
24GClaims19,027
24DCodes billed14
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#96 of 284
Median peer was paid$172K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2021 | 598 | $9K | |
| 2022 | 5,087 | $109K | |
| 2023 | 7,048 | $141K | |
| 2024incomplete | 6,294 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 18% | 4,548 | 4,266 | $70K |
| D1110 | Prophylaxis - adult | 15% | 1,298 | 1,245 | $60K |
| D0274 | Bitewings - four radiographic images | 12% | 1,530 | 1,472 | $48K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 5,851 | 3,423 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,006 | 1,920 | $42K |
| D0140 | Limited oral evaluation - problem focused | 10% | 1,353 | 1,290 | $41K |
| D1206 | Topical application of fluoride varnish | 5.8% | 1,392 | 1,330 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 154 | 79 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.4% | 109 | 38 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 348 | 329 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 333 | 332 | $10K |
| D2394 | 1.4% | 35 | 25 | $5K |
2 more codes
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 officialPRESCOTT, TANNER (DOCTOR)