Medicaid Provider Spending

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

WILLOW DENTAL BELLEVUE, LLC

NPI: 1366217051 · BELLEVUE, NE 68147 · General Practice Dentistry · NPI assigned 11/22/2023

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

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

$23K
Total Medicaid Paid
1,150
Total Claims
621
Beneficiaries
9
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARDON, CREED (OWNER)
NPI Enumeration Date11/22/2023

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
SAPULPA KIDS DENTAL PLLC SAPULPA OK $1.12M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,150 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 93 40 $9K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 32 20 $4K
D0150 Comprehensive oral evaluation - new or established patient 107 106 $3K
D0330 Panoramic radiographic image 90 90 $3K
D1110 Prophylaxis - adult 40 40 $2K
D0274 Bitewings - four radiographic images 77 77 $1K
D0230 Intraoral - periapical each additional radiographic image 568 105 $1K
D1206 Topical application of fluoride varnish 36 36 $948.16
D0220 Intraoral - periapical first radiographic image 107 107 $380.29