Clinic
Sdpmwc, PLLC
Sdpmwc, PLLC was paid $13K by Medicaid between Mar 2022 and Dec 2022, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoSDPMWC, PLLC
MIDWEST CITY, OK 73110
MIDWEST CITY, OK 73110
33aNPI1538739610assigned 06/30/2021
33bProvider typeDental Clinic/Center
28Total paid$13K
24GClaims696
24DCodes billed7
24AFirst – last monthMar 2022 – Dec 2022
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#85 of 112
Median peer was paid$86K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 696 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 135 | 135 | $4K |
| D1206 | Topical application of fluoride varnish | 21% | 173 | 173 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 117 | 117 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 110 | 110 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 126 | 76 | $937.26 |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 18 | 18 | $549.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 17 | 17 | $518.50 |
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 officialYATES, MIKE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Summer Dental Shawnee PLLC | Shawnee, OK | $2.58M |
| Summer Dental Macarthur PLLC | Oklahoma City, OK | $784K |
| Cottonwood Dental Kellogg, P.A. | Wichita, KS | $292K |
| Baxter Springs Family Dentistry PA | Baxter Springs, KS | $237K |
| Rio Dental, P.A. | Wichita, KS | $111K |
| Tulsa Prosth PLLC | Tulsa, OK | $998.56 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.