Dental
Canadian Valley Dentistry PLLC
Canadian Valley Dentistry PLLC was paid $7K by Medicaid between Apr 2023 and Oct 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.
33Billing provider infoCANADIAN VALLEY DENTISTRY PLLC
EL RENO, OK 73036
EL RENO, OK 73036
33aNPI1720437296assigned 06/06/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims248
24DCodes billed4
24AFirst – last monthApr 2023 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#240 of 284
Median peer was paid$172K
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 | |
|---|---|---|---|
| 2023 | 28 | $441.32 | |
| 2024incomplete | 220 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46% | 64 | 48 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 73 | 53 | $2K |
| D1206 | Topical application of fluoride varnish | 19% | 69 | 60 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 42 | 36 | $665.53 |
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 officialTATE, RAY (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Affordable Dentistry | Yukon, OK | $76K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.