Medicaid Provider Spending

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

SUMMER DENTAL MOORE PLLC

NPI: 1578056065 · MOORE, OK 73160 · General Practice Dentistry · NPI assigned 06/11/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCBAY, RENEE controls 20+ related entities in our dataset. Read more

$341K
Total Medicaid Paid
12,608
Total Claims
11,137
Beneficiaries
18
Codes Billed
2018-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCBAY, RENEE (CREDENTIALING SPECIALIST)
NPI Enumeration Date06/11/2018

Related Entities

Other providers sharing the same authorized official: MCBAY, RENEE

ProviderCityStateTotal Paid
MBC DENTAL TULSA OK $7.43M
OKC DENTAL OKLAHOMA CITY OK $7.13M
SPRING DENTAL SPECIALTY, PLLC TULSA OK $3.83M
MOC JOPLIN, PLLC JOPLIN MO $2.47M
SPRING DENTAL OKMULGEE PLLC OKMULGEE OK $2.21M
SPRING DENTAL BARTLESVILLE BARTLESVILLE OK $2.07M
SPRING DENTAL PRYOR PRYOR OK $1.68M
SPRING DENTAL MUSKOGEE, PLLC MUSKOGEE OK $1.55M
SPRING DENTAL CLAREMORE CLAREMORE OK $1.07M
SPRING DENTAL HENRYETTA, PLLC HENRYETTA OK $953K
SPRING INNOVATIONS OK PC SAND SPRINGS OK $890K
SPRING DENTAL BIXBY PLLC BIXBY OK $857K
SUMMER DENTAL NORMAN NORMAN OK $785K
SPRING DENTAL EAST TULSA TULSA OK $688K
SPRING DENTAL CLEVELAND, PLLC CLEVELAND OK $673K
SPRING DENTAL-PEORIA, PLLC TULSA OK $633K
SUMMER DENTAL YUKON, PLLC YUKON OK $513K
SPRING DENTAL-BROKEN ARROW BROKEN ARROW OK $238K
WEDINGTON DENTAL, PLLC FAYETTEVILLE AR $207K
SPRING DENTAL SPRINGDALE SPRINGDALE AR $186K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $711.35
2019 270 $4K
2020 797 $13K
2021 1,704 $33K
2022 3,308 $81K
2023 2,401 $53K
2024 4,091 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 297 129 $49K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 392 173 $46K
D0220 Intraoral - periapical first radiographic image 2,393 2,317 $35K
D0274 Bitewings - four radiographic images 1,011 983 $30K
D1110 Prophylaxis - adult 669 658 $29K
D1120 Prophylaxis - child 963 932 $28K
D0120 Periodic oral evaluation - established patient 1,239 1,208 $25K
D0330 Panoramic radiographic image 505 500 $24K
D1206 Topical application of fluoride varnish 1,368 1,327 $22K
D0230 Intraoral - periapical each additional radiographic image 2,732 1,930 $21K
D0150 Comprehensive oral evaluation - new or established patient 563 552 $17K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 46 13 $5K
D2394 28 14 $5K
D1208 Topical application of fluoride, excluding varnish 280 280 $4K
D0272 Bitewings - two radiographic images 42 42 $732.00
D0140 Limited oral evaluation - problem focused 18 17 $464.00
D0350 14 14 $426.86
D0603 48 48 $389.30