Clinic
Henyretta Dental Center 2, PLLC
Henyretta Dental Center 2, PLLC was paid $116K by Medicaid between Jan 2018 and Sep 2023, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoHENYRETTA DENTAL CENTER 2, PLLC
HENRYETTA, OK 74437
HENRYETTA, OK 74437
33aNPI1750660700assigned 08/09/2011
33bProvider typeDental Clinic/Center
28Total paid$116K
24GClaims5,318
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#52 of 112
Median peer was paid$86K
This provider vs. median1.3×
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 | 1,096 | $22K | |
| 2019 | 1,018 | $21K | |
| 2020 | 943 | $22K | |
| 2021 | 996 | $22K | |
| 2022 | 820 | $19K | |
| 2023 | 445 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 1,707 | 1,707 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,075 | 1,075 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 1,903 | 1,903 | $28K |
| D1110 | Prophylaxis - adult | 14% | 382 | 382 | $17K |
| D0272 | Bitewings - two radiographic images | 3.0% | 197 | 197 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | 13 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $348.60 |
| 98940 | <1% | 23 | 14 | $299.00 |
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 officialJOHNSON, JEREMY (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| West Central Smiles PA | Litchfield, MN | $4.82M |
| Total Medical Supply Co INC | Spring Lake Park, MN | $4.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.