Dental
Pediatric Dental Group II, LLC
Pediatric Dental Group II, LLC was paid $8.51M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL GROUP II, LLC
TULSA, OK 74133
TULSA, OK 74133
33aNPI1760864235assigned 06/22/2015
33bProvider typePediatric Dentist
28Total paid$8.51M
24GClaims216,248
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Oklahoma
Rank by total paid#5 of 32
Median peer was paid$804K
This provider vs. median11×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more
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 | 15,966 | $595K | |
| 2019 | 18,746 | $672K | |
| 2020 | 18,642 | $793K | |
| 2021 | 31,305 | $1.36M | |
| 2022 | 41,883 | $1.73M | |
| 2023 | 45,976 | $1.80M | |
| 2024incomplete | 43,730 | $1.56M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 12,769 | 5,774 | $1.29M |
| D9248 | 14% | 8,752 | 8,115 | $1.16M | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 8,569 | 2,816 | $1.03M |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 24,653 | 24,111 | $741K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 25,088 | 24,618 | $527K |
| D1206 | Topical application of fluoride varnish | 4.4% | 21,840 | 21,180 | $371K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 5,118 | 3,055 | $336K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 5,308 | 2,771 | $315K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.4% | 2,156 | 1,284 | $294K |
| D1110 | Prophylaxis - adult | 3.1% | 5,859 | 5,724 | $263K |
| D1351 | Sealant - per tooth | 2.9% | 10,283 | 3,638 | $249K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 14,559 | 14,086 | $218K |
30 more codes
| D0330 | Panoramic radiographic image | 2.5% | 4,490 | $216K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.5% | 2,308 | $211K |
| D0272 | Bitewings - two radiographic images | 2.2% | 10,307 | $185K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 4,379 | $130K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 8,276 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 3,947 | $118K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 11,764 | $89K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.0% | 3,334 | $87K |
| D0274 | Bitewings - four radiographic images | <1% | 2,760 | $83K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 225 | $82K |
| D2934 | <1% | 485 | $67K | |
| D3120 | <1% | 1,868 | $56K | |
| D0603 | <1% | 4,969 | $45K | |
| D0601 | <1% | 4,503 | $41K | |
| D0602 | <1% | 4,430 | $40K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,096 | $33K |
| D2330 | <1% | 533 | $32K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 64 | $25K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 13 | $13K |
| D0240 | <1% | 618 | $11K | |
| D0350 | <1% | 281 | $9K | |
| D9310 | <1% | 146 | $7K | |
| D7111 | <1% | 115 | $7K | |
| D9610 | <1% | 225 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 50 | $6K |
| D0340 | <1% | 26 | $2K | |
| D2950 | <1% | 14 | $2K | |
| D1510 | <1% | 12 | $1K | |
| D7510 | <1% | 13 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 43 | $524.60 |
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 officialURBANOZO, SHAUN (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Misner Dental Corp | Huntington Park, CA | $21.95M |
| Academy Kids Dental Center PC | Colorado Springs, CO | $20.71M |
| Hero Dental of Denver PC | Denver, CO | $20.64M |
| Hero Dental of Washington DC PC | Washington, DC | $19.23M |
| Captain Smiles of Greeley PC | Greeley, CO | $18.75M |
| Twin Lakes Dental PA | Wichita, KS | $16.74M |
| Montano DDS Dental Center PC | Baltimore, MD | $16.50M |
| Hero Vision of Greeley LLC | Greeley, CO | $15.43M |
| Hero Dental of Landover Hills PC - Ronald B Montano DDS | Landover Hills, MD | $14.45M |
| Hero Dental of Aurora PC | Aurora, CO | $13.98M |
| Hero Dental of Springs PC | Colorado Springs, CO | $13.58M |
| Hero Dental of Albuquerque PC | Albuquerque, NM | $13.55M |
| Ronald B Montano DDS PC | Baltimore, MD | $12.21M |
| Hero Vision of Longmont, LLC | Longmont, CO | $11.88M |
| Country Club Dental PA | Topeka, KS | $11.68M |
| Hero Dental of Washington DC PC | Washington, DC | $11.68M |
| R. Misner Dental Corporation | Glendale, CA | $10.86M |
| Parklane Dental PA | Wichita, KS | $10.35M |
| Hero Dental of Springs PC | Colorado Springs, CO | $9.33M |
| Hero Dental of Santa Fe PC | Santa Fe, NM | $8.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.