Medicaid Provider Spending

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

SOUTHERN POINTE DENTAL AND IMPLANTS LLC

NPI: 1629744685 · TULSA, OK 74137 · Dental Clinic/Center · NPI assigned 08/19/2021

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

Authorized official NELSON, BRAD controls 11+ related entities in our dataset. Read more

$15K
Total Medicaid Paid
534
Total Claims
507
Beneficiaries
7
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNELSON, BRAD (OWNER)
NPI Enumeration Date08/19/2021

Related Entities

Other providers sharing the same authorized official: NELSON, BRAD

ProviderCityStateTotal Paid
DUNCAN DENTAL AND IMPLANTS DUNCAN OK $1.09M
SHAWNEE DENTISTRY AND BRACES SHAWNEE OK $874K
EXCEL DENTISTRY AND BRACES OKLAHOMA CITY OK $319K
BRIXTON FAMILY DENTAL OKLAHOMA CITY OK $71K
NORTH PARK FAMILY DENTAL EDMOND OK $50K
LAWTON DENTAL AND IMPLANTS, LLC LAWTON OK $40K
COWETA DENTAL AND IMPLANTS COWETA OK $14K
PURCELL FAMILY DENTAL LLC PURCELL OK $11K
PERRY SMILES PERRY OK $6K
MUSKOGEE DENTAL AND IMPLANTS LLC MUSKOGEE OK $6K
STILLWATER DENTAL AND IMPLANTS, LLC STILLWATER OK $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 332 $10K
2024 202 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 134 130 $4K
D1110 Prophylaxis - adult 77 72 $4K
D0220 Intraoral - periapical first radiographic image 165 152 $3K
D0274 Bitewings - four radiographic images 59 54 $2K
D0330 Panoramic radiographic image 29 29 $1K
D1206 Topical application of fluoride varnish 56 56 $1K
D0140 Limited oral evaluation - problem focused 14 14 $424.44