Dental
Storts Family Dentistry, Jesse D. Storts, JR. PC
Storts Family Dentistry, Jesse D. Storts, JR. PC was paid $947K by Medicaid between Jan 2018 and Sep 2021, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoSTORTS FAMILY DENTISTRY, JESSE D. STORTS, JR. PC
ARDMORE, OK 73401
ARDMORE, OK 73401
33aNPI1427344738assigned 06/24/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$947K
24GClaims34,604
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#57 of 284
Median peer was paid$172K
This provider vs. median5.5×
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 | 8,108 | $226K | |
| 2019 | 10,320 | $291K | |
| 2020 | 8,775 | $246K | |
| 2021 | 7,401 | $184K |
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 | 19% | 2,019 | 1,180 | $177K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 3,315 | 3,315 | $97K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 1,479 | 895 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 3,823 | 3,823 | $77K |
| D1110 | Prophylaxis - adult | 7.8% | 1,719 | 1,719 | $74K |
| D0274 | Bitewings - four radiographic images | 7.1% | 2,339 | 2,339 | $67K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 1,959 | 1,825 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 3,398 | 3,398 | $50K |
| D0330 | Panoramic radiographic image | 5.1% | 1,055 | 1,055 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 2,809 | 2,776 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 518 | 302 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 4,273 | 1,709 | $31K |
11 more codes
| D0140 | Limited oral evaluation - problem focused | 2.8% | 927 | $27K |
| D1206 | Topical application of fluoride varnish | 2.8% | 1,844 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 669 | $19K |
| D0240 | 1.7% | 941 | $16K | |
| D1351 | Sealant - per tooth | 1.6% | 694 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 43 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 287 | $5K |
| D0601 | <1% | 176 | $2K | |
| D0602 | <1% | 162 | $1K | |
| D0603 | <1% | 133 | $1K | |
| D3120 | <1% | 22 | $540.05 |
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 officialSTORTS, JESSE (DENTISTS)