Dental
Safari Smiles, PLLC
Safari Smiles, PLLC was paid $1.14M by Medicaid between Nov 2021 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoSAFARI SMILES, PLLC
BARTLESVILLE, OK 74006
BARTLESVILLE, OK 74006
33aNPI1730474800assigned 06/16/2011
33bProvider typePediatric Dentist
28Total paid$1.14M
24GClaims36,664
24DCodes billed19
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Oklahoma
Rank by total paid#16 of 32
Median peer was paid$804K
This provider vs. median1.4×
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 | 1,760 | $49K | |
| 2022 | 12,680 | $368K | |
| 2023 | 11,773 | $378K | |
| 2024incomplete | 10,451 | $345K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 5,451 | 5,308 | $166K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 7,744 | 7,542 | $165K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,420 | 839 | $156K |
| D1206 | Topical application of fluoride varnish | 12% | 7,942 | 7,738 | $134K |
| D1110 | Prophylaxis - adult | 9.0% | 2,247 | 2,190 | $102K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 1,141 | 765 | $68K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.4% | 2,293 | 2,062 | $61K |
| D0272 | Bitewings - two radiographic images | 4.2% | 2,596 | 2,522 | $47K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 643 | 394 | $42K |
| D1351 | Sealant - per tooth | 3.6% | 1,701 | 497 | $41K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 322 | 82 | $39K |
| D0274 | Bitewings - four radiographic images | 2.8% | 1,045 | 1,013 | $32K |
7 more codes
| D0330 | Panoramic radiographic image | 2.0% | 475 | $23K |
| D9248 | 1.8% | 151 | $20K | |
| D9310 | 1.7% | 407 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 780 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 232 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 49 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 25 | $762.50 |
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 officialLINDBLOM, JON (OWNER)