Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC DENTAL GROUP II, LLC

NPI: 1760864235 · TULSA, OK 74133 · Pediatric Dentist · NPI assigned 06/22/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$8.51M
Total Medicaid Paid
216,248
Total Claims
182,666
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialURBANOZO, SHAUN (CREDENTIALING MANAGER)
NPI Enumeration Date06/22/2015

Related Entities

Other providers sharing the same authorized official: URBANOZO, SHAUN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 43,730 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12,769 5,774 $1.29M
D9248 8,752 8,115 $1.16M
D2930 Prefabricated stainless steel crown - primary tooth 8,569 2,816 $1.03M
D1120 Prophylaxis - child 24,653 24,111 $741K
D0120 Periodic oral evaluation - established patient 25,088 24,618 $527K
D1206 Topical application of fluoride varnish 21,840 21,180 $371K
D7140 Extraction, erupted tooth or exposed root 5,118 3,055 $336K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,308 2,771 $315K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2,156 1,284 $294K
D1110 Prophylaxis - adult 5,859 5,724 $263K
D1351 Sealant - per tooth 10,283 3,638 $249K
D0220 Intraoral - periapical first radiographic image 14,559 14,086 $218K
D0330 Panoramic radiographic image 4,490 4,365 $216K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2,308 1,035 $211K
D0272 Bitewings - two radiographic images 10,307 10,132 $185K
D0140 Limited oral evaluation - problem focused 4,379 4,290 $130K
D1208 Topical application of fluoride, excluding varnish 8,276 8,276 $121K
D0150 Comprehensive oral evaluation - new or established patient 3,947 3,798 $118K
D0230 Intraoral - periapical each additional radiographic image 11,764 10,081 $89K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,334 3,166 $87K
D0274 Bitewings - four radiographic images 2,760 2,703 $83K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 225 225 $82K
D2934 485 148 $67K
D3120 1,868 1,200 $56K
D0603 4,969 4,790 $45K
D0601 4,503 4,405 $41K
D0602 4,430 4,309 $40K
D0145 Oral evaluation for a patient under three years of age 1,096 1,035 $33K
D2330 533 289 $32K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 64 59 $25K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 13 13 $13K
D0240 618 324 $11K
D0350 281 281 $9K
D9310 146 146 $7K
D7111 115 76 $7K
D9610 225 225 $6K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 50 37 $6K
D0340 26 26 $2K
D2950 14 13 $2K
D1510 12 12 $1K
D7510 13 12 $1K
D0210 Intraoral - complete series of radiographic images 43 23 $524.60