Clinic
Mcalester Dentistry & Braces
Mcalester Dentistry & Braces was paid $535K by Medicaid between Jul 2020 and Nov 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoMCALESTER DENTISTRY & BRACES
MCALESTER, OK 74501
MCALESTER, OK 74501
33aNPI1417581547assigned 02/27/2020
33bProvider typeDental Clinic/Center
28Total paid$535K
24GClaims16,462
24DCodes billed21
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#29 of 112
Median peer was paid$86K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2020 | 2,579 | $79K | |
| 2021 | 5,111 | $196K | |
| 2022 | 3,864 | $150K | |
| 2023 | 2,386 | $57K | |
| 2024incomplete | 2,522 | $54K |
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 | 26% | 1,490 | 785 | $142K |
| D1110 | Prophylaxis - adult | 11% | 1,346 | 1,340 | $61K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.7% | 428 | 255 | $52K |
| D1206 | Topical application of fluoride varnish | 7.3% | 2,433 | 2,416 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 1,283 | 1,262 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 1,937 | 1,756 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 479 | 342 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 1,247 | 1,225 | $26K |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 866 | 847 | $26K |
| D0274 | Bitewings - four radiographic images | 4.4% | 786 | 780 | $23K |
| D0330 | Panoramic radiographic image | 3.1% | 354 | 354 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 2,174 | 958 | $16K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 463 | $14K |
| D0272 | Bitewings - two radiographic images | 1.7% | 502 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 315 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 50 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 108 | $3K |
| D1351 | Sealant - per tooth | <1% | 113 | $2K |
| D0350 | <1% | 19 | $579.50 | |
| D0603 | <1% | 41 | $375.15 | |
| D0602 | <1% | 28 | $256.20 |
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 officialTAM-WALTS, KARA (PAYER RELATIONS ANALYST)