WALTON DENTAL, PLLC

NPI: 1427519669 · BENTONVILLE, AR 72712 · General Practice Dentistry · NPI assigned 03/29/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official MCBAY, RENEE controls 20+ related entities in our dataset. Read more

$54K

Total Medicaid Paid

1,887

Total Claims

1,853

Beneficiaries

Codes Billed

2020-07

First Month

2024-09

Last Month

Provider Details

Authorized Official	MCBAY, RENEE (CREDENTIALING MANAGER)
NPI Enumeration Date	03/29/2019

Other providers sharing the same authorized official: MCBAY, RENEE

Provider	City	State	Total Paid
MBC DENTAL	TULSA	OK	$7.43M
OKC DENTAL	OKLAHOMA CITY	OK	$7.13M
SPRING DENTAL SPECIALTY, PLLC	TULSA	OK	$3.83M
MOC JOPLIN, PLLC	JOPLIN	MO	$2.47M
SPRING DENTAL OKMULGEE PLLC	OKMULGEE	OK	$2.21M
SPRING DENTAL BARTLESVILLE	BARTLESVILLE	OK	$2.07M
SPRING DENTAL PRYOR	PRYOR	OK	$1.68M
SPRING DENTAL MUSKOGEE, PLLC	MUSKOGEE	OK	$1.55M
SPRING DENTAL CLAREMORE	CLAREMORE	OK	$1.07M
SPRING DENTAL HENRYETTA, PLLC	HENRYETTA	OK	$953K
SPRING INNOVATIONS OK PC	SAND SPRINGS	OK	$890K
SPRING DENTAL BIXBY PLLC	BIXBY	OK	$857K
SUMMER DENTAL NORMAN	NORMAN	OK	$785K
SPRING DENTAL EAST TULSA	TULSA	OK	$688K
SPRING DENTAL CLEVELAND, PLLC	CLEVELAND	OK	$673K
SPRING DENTAL-PEORIA, PLLC	TULSA	OK	$633K
SUMMER DENTAL YUKON, PLLC	YUKON	OK	$513K
SUMMER DENTAL MOORE PLLC	MOORE	OK	$341K
SPRING DENTAL-BROKEN ARROW	BROKEN ARROW	OK	$238K
WEDINGTON DENTAL, PLLC	FAYETTEVILLE	AR	$207K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	431	427	$18K
D0120	Periodic oral evaluation - established patient	618	612	$15K
D0210	Intraoral - complete series of radiographic images	144	132	$10K
D0220	Intraoral - periapical first radiographic image	308	298	$5K
D0272	Bitewings - two radiographic images	97	97	$2K
D0230	Intraoral - periapical each additional radiographic image	166	165	$2K
D1206	Topical application of fluoride varnish	82	81	$1K
D1208	Topical application of fluoride, excluding varnish	41	41	$665.62