Dental
Wilburton Family Dentistry, LLC
Wilburton Family Dentistry, LLC was paid $762K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 20% of everything it billed.
33Billing provider infoWILBURTON FAMILY DENTISTRY, LLC
WILBURTON, OK 74578
WILBURTON, OK 74578
33aNPI1518099357assigned 03/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$762K
24GClaims21,740
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#66 of 284
Median peer was paid$172K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2018 | 4,096 | $132K | |
| 2019 | 3,163 | $102K | |
| 2020 | 2,605 | $84K | |
| 2021 | 2,271 | $64K | |
| 2022 | 3,144 | $103K | |
| 2023 | 3,670 | $154K | |
| 2024incomplete | 2,791 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 20% | 1,600 | 890 | $153K |
| D1354 | 18% | 1,824 | 472 | $137K | |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 2,184 | 2,184 | $65K |
| D1110 | Prophylaxis - adult | 7.6% | 1,282 | 1,282 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.5% | 2,169 | 1,914 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 2,707 | 2,707 | $57K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 3,565 | 3,565 | $53K |
| D0330 | Panoramic radiographic image | 6.6% | 1,052 | 1,052 | $50K |
| D0274 | Bitewings - four radiographic images | 3.8% | 962 | 962 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 1,542 | 1,525 | $23K |
| D2160 | 2.9% | 166 | 88 | $22K | |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 511 | 510 | $15K |
10 more codes
| D0272 | Bitewings - two radiographic images | 1.7% | 745 | $13K |
| D2140 | 1.1% | 141 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 277 | $8K |
| D0602 | <1% | 620 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 39 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 178 | $1K |
| D0601 | <1% | 90 | $823.50 | |
| D1351 | Sealant - per tooth | <1% | 30 | $731.70 |
| D3120 | <1% | 20 | $564.00 | |
| D0603 | <1% | 36 | $304.56 |
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 officialOSTERHOUT, CASEY (PRESIDENT)