Dental
Custom Dental of Cushing,pllc
Custom Dental of Cushing,pllc was paid $111K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoCUSTOM DENTAL OF CUSHING,PLLC
CUSHING, OK 74023
CUSHING, OK 74023
33aNPI1609140755assigned 03/06/2012
33bProvider typeDentist
28Total paid$111K
24GClaims5,234
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#86 of 150
Median peer was paid$154K
This provider vs. median0.7×
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 | 707 | $14K | |
| 2019 | 304 | $7K | |
| 2020 | 297 | $6K | |
| 2021 | 1,310 | $31K | |
| 2022 | 1,151 | $21K | |
| 2023 | 1,025 | $23K | |
| 2024incomplete | 440 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,254 | 1,252 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 1,502 | 1,500 | $22K |
| D0274 | Bitewings - four radiographic images | 17% | 641 | 640 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 616 | 615 | $18K |
| D1110 | Prophylaxis - adult | 12% | 316 | 316 | $13K |
| D0330 | Panoramic radiographic image | 4.1% | 94 | 94 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 288 | 287 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 428 | 211 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 66 | 66 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 29 | 28 | $768.32 |
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 officialMESSER, DAN (DENTIST)