Oklahoma Dental Foundation

Oklahoma Dental Foundation was paid $52K by Medicaid between Nov 2022 and Aug 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 26% of everything it billed.

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
2022	95	$2K
2023	1,735	$40K
2024incomplete	534	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	26%	423	410	$13K
D0220	Intraoral - periapical first radiographic image	16%	510	499	$8K
D0230	Intraoral - periapical each additional radiographic image	15%	925	403	$8K
D1110	Prophylaxis - adult	14%	152	151	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	49	29	$6K
D1206	Topical application of fluoride varnish	7.0%	190	188	$4K
D7140	Extraction, erupted tooth or exposed root	4.9%	35	15	$3K
D0274	Bitewings - four radiographic images	3.3%	54	54	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.7%	14	13	$878.36
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$364.96

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 officialGOODMAN, WILLIAM (PRESIDENT)