Ada Family Dentistry INC.

Ada Family Dentistry INC. was paid $84K by Medicaid between Jan 2018 and Apr 2021, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoADA FAMILY DENTISTRY INC.
ADA, OK 74820

33aNPI1699927293assigned 10/15/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$84K

24GClaims3,740

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#165 of 284

Median peer was paid$172K

This provider vs. median0.5×

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	1,515	$31K
2019	1,178	$27K
2020	802	$19K
2021	245	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	1,250	1,250	$25K
D1120	Dental cleaning, childProphylaxis - child	27%	793	793	$23K
D1208	Topical application of fluoride, excluding varnish	20%	1,170	1,170	$17K
D1110	Prophylaxis - adult	19%	362	362	$15K
D0272	Bitewings - two radiographic images	2.3%	113	113	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.2%	14	12	$961.77
D0274	Bitewings - four radiographic images	<1%	25	25	$745.10
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$169.08

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 officialBRATTON, BRYAN (PRESIDENT)