Dental
South Side Dental Partners, PLLC
South Side Dental Partners, PLLC was paid $678K by Medicaid between Nov 2022 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoSOUTH SIDE DENTAL PARTNERS, PLLC
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
33aNPI1386378420assigned 07/14/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$678K
24GClaims14,511
24DCodes billed23
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#72 of 284
Median peer was paid$172K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2022 | 384 | $14K | |
| 2023 | 7,294 | $351K | |
| 2024incomplete | 6,833 | $313K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,131 | 544 | $144K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 18% | 717 | 383 | $125K |
| D0140 | Limited oral evaluation - problem focused | 7.9% | 1,755 | 1,661 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 774 | 334 | $49K |
| D2394 | 5.8% | 212 | 119 | $40K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.6% | 306 | 97 | $38K |
| D1354 | 4.9% | 434 | 66 | $33K | |
| D1320 | 4.1% | 782 | 758 | $28K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 3,245 | 1,224 | $26K |
| D1110 | Prophylaxis - adult | 3.7% | 525 | 509 | $25K |
| D0274 | Bitewings - four radiographic images | 3.5% | 740 | 736 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,360 | 1,322 | $22K |
11 more codes
| D1206 | Topical application of fluoride varnish | 2.8% | 1,001 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 492 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 167 | $11K |
| D1351 | Sealant - per tooth | 1.1% | 298 | $7K |
| D2332 | <1% | 58 | $7K | |
| D1120 | Dental cleaning, child | <1% | 176 | $5K |
| D2335 | <1% | 18 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 102 | $2K |
| D0603 | <1% | 164 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 20 | $438.50 |
| D0602 | <1% | 34 | $311.10 |
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 officialGRAY, DAVID (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Hardin Memorial Hospital | Elizabethtown, KY | $37.24M |
| East Sooner Dental Partners PLLC | Midwest City, OK | $1.28M |
| David Christiaan Gray D.M.D.,P.A. | Mcallen, TX | $900K |
| Whitewing Dental at LA Feria,pllc | La Feria, TX | $388K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.