Clinic
Bixby Spartan Dental PLLC
Bixby Spartan Dental PLLC was paid $41K by Medicaid between Jan 2020 and Mar 2023, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoBIXBY SPARTAN DENTAL PLLC
BIXBY, OK 74008
BIXBY, OK 74008
33aNPI1467003186assigned 09/24/2019
33bProvider typeDental Clinic/Center
28Total paid$41K
24GClaims1,996
24DCodes billed9
24AFirst – last monthJan 2020 – Mar 2023
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#74 of 112
Median peer was paid$86K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 308 | $7K | |
| 2021 | 776 | $15K | |
| 2022 | 755 | $15K | |
| 2023 | 157 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 358 | 358 | $11K |
| D1206 | Topical application of fluoride varnish | 24% | 633 | 633 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 429 | 429 | $9K |
| D1110 | Prophylaxis - adult | 9.7% | 87 | 87 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 8.7% | 242 | 241 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 162 | 146 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 29 | 29 | $884.50 |
| D0274 | Bitewings - four radiographic images | 2.0% | 27 | 27 | $823.50 |
| D0272 | Bitewings - two radiographic images | 1.3% | 29 | 29 | $530.58 |
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 officialJELSING, PRISCILA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Priscila J Jelsing DDS PC | Hazen, ND | $262K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.