Spartan Family Dentistry

Spartan Family Dentistry was paid $4K by Medicaid between Jul 2018 and Oct 2019, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.

33Billing provider infoSPARTAN FAMILY DENTISTRY
BIXBY, OK 74008

33aNPI1750839163assigned 09/14/2016

33bProvider typeDentist

28Total paid$4K

24GClaims191

24DCodes billed4

24AFirst – last monthJul 2018 – Oct 2019

Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#126 of 150

Median peer was paid$154K

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
2018	65	$1K
2019	126	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	42%	55	55	$2K
D1206	Topical application of fluoride varnish	32%	82	82	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	34	34	$680.60
D1208	Topical application of fluoride, excluding varnish	7.5%	20	20	$281.80

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 officialTROCKEL, MARTIN (DOCTOR)