Dental
Brent T. Amaya D.D.S. P.L.L.C.
Brent T. Amaya D.D.S. P.L.L.C. was paid $17K by Medicaid between Jan 2018 and Mar 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoBRENT T. AMAYA D.D.S. P.L.L.C.
MIDWEST CITY, OK 73130
MIDWEST CITY, OK 73130
33aNPI1366787699assigned 11/27/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims854
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#218 of 284
Median peer was paid$172K
This provider vs. median0.1×
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 | 662 | $14K | |
| 2019 | 192 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 192 | 192 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 260 | 260 | $5K |
| D1206 | Topical application of fluoride varnish | 25% | 299 | 299 | $4K |
| D0272 | Bitewings - two radiographic images | 7.7% | 77 | 77 | $1K |
| D1110 | Prophylaxis - adult | 6.4% | 26 | 26 | $1K |
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 officialAMAYA, BRENT (DENTIST)