Dental
Ob Dental, LLC
Ob Dental, LLC was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 77% of everything it billed.
33Billing provider infoOB DENTAL, LLC
TULSA, OK 74120
TULSA, OK 74120
33aNPI1366775140assigned 09/11/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2.48M
24GClaims10,561
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#28 of 284
Median peer was paid$172K
This provider vs. median14×
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 | 2,207 | $405K | |
| 2019 | 1,710 | $514K | |
| 2020 | 1,361 | $399K | |
| 2021 | 1,218 | $340K | |
| 2022 | 1,468 | $230K | |
| 2023 | 1,695 | $423K | |
| 2024incomplete | 902 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 77% | 1,494 | 1,494 | $1.92M |
| D9310 | 6.3% | 3,242 | 3,233 | $155K | |
| D7240 | Removal of impacted tooth - completely bony | 5.5% | 661 | 193 | $136K |
| D0340 | 4.6% | 1,910 | 1,905 | $114K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.2% | 246 | 246 | $54K |
| D0350 | 2.1% | 1,734 | 1,734 | $52K | |
| D0330 | Panoramic radiographic image | <1% | 462 | 462 | $22K |
| D1110 | Prophylaxis - adult | <1% | 221 | 221 | $9K |
| D9610 | <1% | 219 | 219 | $6K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 195 | 195 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 110 | 110 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 67 | 67 | $2K |
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 officialKEITHLINE, CHARLES (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Group, LLC | Tulsa, OK | $12.84M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.