Clinic
Southpointe Family Dentistry PLLC Dba Westmoore Family Dentistry
Southpointe Family Dentistry PLLC Dba Westmoore Family Dentistry was paid $212K by Medicaid between Oct 2021 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoSOUTHPOINTE FAMILY DENTISTRY PLLC DBA WESTMOORE FAMILY DENTISTRY
OKLAHOMA CITY, OK 73170
OKLAHOMA CITY, OK 73170
33aNPI1437647831assigned 05/01/2018
33bProvider typeDental Clinic/Center
28Total paid$212K
24GClaims8,486
24DCodes billed14
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#39 of 112
Median peer was paid$86K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2021 | 368 | $8K | |
| 2022 | 2,637 | $64K | |
| 2023 | 3,425 | $92K | |
| 2024incomplete | 2,056 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 1,054 | 1,046 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,603 | 1,589 | $33K |
| D1206 | Topical application of fluoride varnish | 14% | 1,753 | 1,740 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 183 | 130 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 637 | 637 | $19K |
| D0274 | Bitewings - four radiographic images | 7.8% | 560 | 557 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 1,100 | 1,087 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 1,021 | 980 | $8K |
| D0330 | Panoramic radiographic image | 3.3% | 149 | 149 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 228 | 203 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 39 | 25 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 105 | 105 | $2K |
2 more codes
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 officialRUDD, MACK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jones Family Dentistry PLLC | Jones, OK | $155K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.