Managed care
Evans Family Dentistry PLLC
Evans Family Dentistry PLLC was paid $243.96 by Medicaid between Jun 2019 and Jun 2019, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoEVANS FAMILY DENTISTRY PLLC
TULSA, OK 74145
TULSA, OK 74145
33aNPI1699935676assigned 06/12/2008
33bProvider typePreferred Provider Organization
28Total paid$243.96
24GClaims12
24DCodes billed1
24AFirst – last monthJun 2019 – Jun 2019
Compared with peers
Next to other Preferred Provider Organization providers in Oklahoma
Rank by total paid#9 of 9
Median peer was paid$73K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 12 | $243.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 12 | 12 | $243.96 |
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 officialCONNAUGHTON, MARY (OFFICE MANAGER)