Dental
Southwest Pediatric Dental Associates, PLLC
Southwest Pediatric Dental Associates, PLLC was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoSOUTHWEST PEDIATRIC DENTAL ASSOCIATES, PLLC
OKLAHOMA CITY, OK 73139
OKLAHOMA CITY, OK 73139
33aNPI1366568438assigned 03/21/2007
33bProvider typePediatric Dentist
28Total paid$1.64M
24GClaims46,447
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Oklahoma
Rank by total paid#13 of 32
Median peer was paid$804K
This provider vs. median2.0×
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 | 4,486 | $140K | |
| 2019 | 4,783 | $122K | |
| 2020 | 4,550 | $128K | |
| 2021 | 6,683 | $220K | |
| 2022 | 6,761 | $210K | |
| 2023 | 10,401 | $482K | |
| 2024incomplete | 8,783 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 2,309 | 794 | $267K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 6,391 | 6,254 | $183K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 7,647 | 7,494 | $152K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 1,457 | 812 | $147K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 2,177 | 1,234 | $127K |
| D9248 | 7.1% | 901 | 818 | $117K | |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 8,092 | 7,933 | $116K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 6.8% | 297 | 271 | $111K |
| D1110 | Prophylaxis - adult | 4.7% | 1,813 | 1,785 | $77K |
| D9310 | 4.6% | 1,616 | 1,565 | $75K | |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 2,570 | 2,484 | $37K |
| D0272 | Bitewings - two radiographic images | 2.3% | 2,180 | 2,135 | $37K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 474 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 3,839 | $28K |
| D0240 | 1.7% | 1,011 | $27K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 1,041 | $27K |
| D1351 | Sealant - per tooth | 1.5% | 1,084 | $25K |
| D9222 | 1.3% | 286 | $22K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 724 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 256 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 209 | $6K |
| D2330 | <1% | 73 | $4K |
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 officialWHITE, THERESA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Oxygen Plus Corp | Manchester, TN | $524K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.