Ok, Sally

Ok, Sally was paid $14K by Medicaid between Jan 2023 and Jun 2023, across 2 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 89% of everything it billed.

33Billing provider infoOK, SALLY
EULESS, TX 76039

33aNPI1487100970assigned 08/25/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims99

24DCodes billed2

24AFirst – last monthJan 2023 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,771 of 2,774

Median peer was paid$43K

This provider vs. median0.3×

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
2023	99	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	89%	86	25	$12K
D9248		11%	13	13	$2K

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.