Dental
Cardelyn DDS INC PC
Cardelyn DDS INC PC was paid $4.11M by Medicaid between Nov 2021 and Dec 2024, across 22 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoCARDELYN DDS INC PC
TULSA, OK 74129
TULSA, OK 74129
33aNPI1720514805assigned 05/10/2017
33bProvider typeDentist
28Total paid$4.11M
24GClaims101,015
24DCodes billed22
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#7 of 150
Median peer was paid$154K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2021 | 4,956 | $213K | |
| 2022 | 30,705 | $1.23M | |
| 2023 | 32,356 | $1.33M | |
| 2024incomplete | 32,998 | $1.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 18% | 4,915 | 1,889 | $750K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 15,784 | 15,036 | $481K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 3,676 | 716 | $448K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,804 | 1,541 | $435K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 18,918 | 18,025 | $403K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.1% | 3,665 | 712 | $335K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 20,907 | 19,920 | $318K |
| D1110 | Prophylaxis - adult | 5.8% | 5,237 | 4,989 | $239K |
| D0330 | Panoramic radiographic image | 4.3% | 3,622 | 3,417 | $177K |
| D0272 | Bitewings - two radiographic images | 3.7% | 8,418 | 8,094 | $154K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 4,949 | 4,650 | $136K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 1,550 | 799 | $104K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,830 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 896 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 833 | $25K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 674 | $21K |
| D0274 | Bitewings - four radiographic images | <1% | 380 | $12K |
| D7111 | <1% | 139 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 647 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 77 | $5K |
| D2330 | <1% | 22 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 72 | $878.40 |
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 officialCOSTELLO, SEAN (OWNER/DENTIST)