Medicaid Provider Spending

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

WITCHITA 21ST DENTAL, PA

NPI: 1639799307 · WICHITA, KS 67206 · Dental Clinic/Center · NPI assigned 04/22/2020

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

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$802K
Total Medicaid Paid
24,735
Total Claims
17,763
Beneficiaries
20
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARDON, CREED (DDS)
NPI Enumeration Date04/22/2020

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
SUMMER DENTAL MIDWEST CITY, PLLC MIDWEST CITY OK $454K
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
2020 969 $17K
2021 5,590 $152K
2022 5,986 $175K
2023 5,687 $208K
2024 6,503 $250K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,930 605 $249K
D1110 Prophylaxis - adult 2,378 2,147 $90K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 807 399 $63K
D0330 Panoramic radiographic image 1,618 1,496 $59K
D0150 Comprehensive oral evaluation - new or established patient 1,896 1,735 $54K
D0274 Bitewings - four radiographic images 1,909 1,755 $50K
D1351 Sealant - per tooth 1,626 189 $42K
D0120 Periodic oral evaluation - established patient 1,830 1,703 $37K
D0220 Intraoral - periapical first radiographic image 2,936 2,599 $25K
D1206 Topical application of fluoride varnish 1,394 1,315 $24K
D0140 Limited oral evaluation - problem focused 853 774 $22K
D1120 Prophylaxis - child 624 588 $18K
D0230 Intraoral - periapical each additional radiographic image 3,026 1,816 $18K
D2391 Resin-based composite - one surface, posterior, primary or permanent 179 112 $13K
D7140 Extraction, erupted tooth or exposed root 163 53 $12K
D0210 Intraoral - complete series of radiographic images 196 161 $9K
D0272 Bitewings - two radiographic images 266 253 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 63 39 $5K
D4346 12 12 $2K
D4341 29 12 $1K