Dental
Southern Oaks Dental Clinic
Southern Oaks Dental Clinic was paid $1.04M by Medicaid between Nov 2020 and Dec 2024, across 24 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider infoSOUTHERN OAKS DENTAL CLINIC
BEAUMONT, TX 77702
BEAUMONT, TX 77702
33aNPI1720413271assigned 09/03/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$1.04M
24GClaims48,926
24DCodes billed24
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#317 of 2,774
Median peer was paid$43K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2020 | 1,246 | $28K | |
| 2021 | 10,565 | $232K | |
| 2022 | 13,865 | $299K | |
| 2023 | 13,489 | $284K | |
| 2024incomplete | 9,761 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 6,230 | 1,234 | $154K |
| D0145 | Oral evaluation for a patient under three years of age | 15% | 1,129 | 1,116 | $154K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,150 | 3,960 | $139K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,926 | 4,665 | $130K |
| D1110 | Prophylaxis - adult | 6.5% | 1,409 | 1,323 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 5,873 | 5,506 | $65K |
| D0272 | Bitewings - two radiographic images | 6.2% | 3,001 | 2,860 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 4,214 | 4,000 | $56K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 5,468 | 5,127 | $55K |
| D0274 | Bitewings - four radiographic images | 5.3% | 1,839 | 1,733 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 1,060 | 932 | $26K |
| D1206 | Topical application of fluoride varnish | 1.9% | 1,443 | 1,364 | $19K |
12 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 423 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 91 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 145 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 124 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 22 | $2K |
| D0330 | Panoramic radiographic image | <1% | 109 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $827.85 |
| D0140 | Limited oral evaluation - problem focused | <1% | 41 | $724.90 |
| D0603 | 0% | 6,833 | $0.00 | |
| D0602 | 0% | 248 | $0.00 | |
| D9986 | 0% | 14 | $0.00 | |
| D1999 | 0% | 115 | $0.00 |
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 officialSEALE, JOHN (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Jasper Dental Emporium | Brookeland, TX | $1.80M |
| Seale TX4 INC. | Port Arthur, TX | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.