Clinic
Signature Dental, INC
Signature Dental, INC was paid $9K by Medicaid between Jan 2018 and Jan 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoSIGNATURE DENTAL, INC
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
33aNPI1740455245assigned 04/25/2008
33bProvider typeDental Clinic/Center
28Total paid$9K
24GClaims445
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#88 of 112
Median peer was paid$86K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 403 | $8K | |
| 2019 | 42 | $871.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 110 | 110 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 159 | 159 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 176 | 176 | $3K |
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 officialMCCONNELL-POORE, KESA (OWNER)