Medicaid Provider Spending

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

SUMMER DENTAL MIDWEST CITY, PLLC

NPI: 1518578095 · MIDWEST CITY, OK 73110 · 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

$454K
Total Medicaid Paid
10,217
Total Claims
8,190
Beneficiaries
18
Codes Billed
2021-03
First Month
2024-11
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
SUMMER DENTAL STILLWATER, PLLC STILLWATER OK $1.22M
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
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
2021 751 $28K
2022 3,160 $144K
2023 3,126 $127K
2024 3,180 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,191 483 $135K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 622 169 $75K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 330 150 $50K
D0330 Panoramic radiographic image 722 710 $33K
D1110 Prophylaxis - adult 718 689 $31K
D0150 Comprehensive oral evaluation - new or established patient 804 771 $23K
D0274 Bitewings - four radiographic images 768 746 $22K
D1206 Topical application of fluoride varnish 1,335 1,272 $22K
D0220 Intraoral - periapical first radiographic image 1,203 1,148 $17K
D0120 Periodic oral evaluation - established patient 625 588 $12K
D2391 Resin-based composite - one surface, posterior, primary or permanent 161 95 $9K
D0230 Intraoral - periapical each additional radiographic image 1,183 839 $9K
D0140 Limited oral evaluation - problem focused 215 209 $6K
D1120 Prophylaxis - child 181 164 $5K
D0350 79 79 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 28 26 $768.32
D1320 12 12 $392.67
D0603 40 40 $357.85