Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMER DENTAL STILLWATER, PLLC

NPI: 1427669936 · STILLWATER, OK 74075 · Dental Clinic/Center · NPI assigned 08/10/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$1.22M
Total Medicaid Paid
29,999
Total Claims
24,038
Beneficiaries
20
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARDON, CREED (CLINICAL DIRECTOR)
NPI Enumeration Date08/10/2020

Related Entities

Other providers sharing the same authorized official: CARDON, CREED

ProviderCityStateTotal Paid
MCO PEDS PLLC JENKS OK $2.51M
OKLAHOMA CITY DENTAL SW, PLLC OKLAHOMA CITY OK $1.24M
SAPULPA KIDS DENTAL PLLC SAPULPA OK $1.12M
SPRING ORTHODONTICS TULSA TULSA OK $1.03M
SPRING DENTAL COLLINSVILLE, PLLC COLLINSVILLE OK $1.01M
OKC 89TH DENTAL, PLLC OKLAHOMA CITY OK $962K
TULSA KIDS DENTAL PLLC TULSA OK $857K
WITCHITA 21ST DENTAL, PA WICHITA KS $802K
SUMMER DENTAL MIDWEST CITY, PLLC MIDWEST CITY OK $454K
SPRING DENTAL VINITA, PLLC VINITA OK $371K
RIVER DENTAL SILOAM SPRINGS, PLLC SILOAM SPRINGS AR $267K
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC TULSA OK $194K
COTTONWOOD DENTAL MAIZE, PA WICHITA KS $186K
REDBUD DENTAL EDMOND, PLLC EDMOND OK $157K
DENTAL CARE OF WICHITA PA WICHITA KS $73K
RIVER DENTAL ROGERS SOUTH, PLLC ROGERS AR $66K
RIVER DENTAL ROGERS, PLLC ROGERS AR $61K
MARION FAMILY SMILES, P.A. MARION KS $56K
OWASSO PEDIATRIC DENTISTRY, PLLC OWASSO OK $45K
WILLOW DENTAL BELLEVUE, LLC BELLEVUE NE $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 103 $2K
2021 3,865 $125K
2022 7,398 $352K
2023 8,876 $392K
2024 9,757 $354K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,243 483 $277K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,543 734 $173K
D1354 1,273 95 $96K
D1110 Prophylaxis - adult 2,032 1,952 $88K
D0330 Panoramic radiographic image 1,674 1,626 $80K
D7240 Removal of impacted tooth - completely bony 294 94 $65K
D1206 Topical application of fluoride varnish 3,865 3,690 $65K
D0150 Comprehensive oral evaluation - new or established patient 1,926 1,826 $57K
D0274 Bitewings - four radiographic images 1,829 1,765 $54K
D0120 Periodic oral evaluation - established patient 2,684 2,581 $54K
D1120 Prophylaxis - child 1,802 1,718 $53K
D0220 Intraoral - periapical first radiographic image 3,400 3,247 $50K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 226 137 $37K
D0140 Limited oral evaluation - problem focused 1,088 1,044 $31K
D0230 Intraoral - periapical each additional radiographic image 3,289 2,383 $25K
D0272 Bitewings - two radiographic images 434 408 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 207 191 $6K
D1351 Sealant - per tooth 152 37 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 24 13 $1K
D0350 14 14 $426.86