Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Tulsa Kids Dental PLLC

Tulsa Kids Dental PLLC was paid $857K by Medicaid between May 2022 and Nov 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 50% of everything it billed.

33Billing provider infoTULSA KIDS DENTAL PLLC
TULSA, OK 74137
33aNPI1790437952assigned 01/19/2022
33bProvider typeDentist
28Total paid$857K
24GClaims11,676
24DCodes billed24
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#31 of 150
Median peer was paid$154K
This provider vs. median5.6×

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 CARDON, CREED controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20222,904$297K
20234,157$359K
2024incomplete4,615$201K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 50% 3,643 631 $431K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 12% 385 384 $104K
D7140 Extraction, erupted tooth or exposed root 7.0% 937 316 $60K
D2390 6.6% 277 81 $56K
D9310 4.3% 781 773 $37K
D9222 3.5% 384 383 $30K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2.6% 252 124 $22K
D1120 Dental cleaning, childProphylaxis - child 1.5% 441 429 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.4% 101 53 $12K
D0220 Intraoral - periapical first radiographic image 1.4% 816 778 $12K
D9610 1.3% 382 381 $11K
D0140 Limited oral evaluation - problem focused 1.2% 360 357 $10K
12 more codes
D7962 1.1% 46 $10K
D1206 Topical application of fluoride varnish 1.1% 525 $9K
D0230 Intraoral - periapical each additional radiographic image <1% 1,102 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 291 $8K
D0272 Bitewings - two radiographic images <1% 399 $7K
D0120 Dental checkup, returning patient <1% 191 $4K
D1351 Sealant - per tooth <1% 161 $4K
D0150 Comprehensive oral evaluation - new or established patient <1% 109 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 45 $3K
D2331 <1% 17 $2K
D2330 <1% 19 $1K
D0145 Oral evaluation for a patient under three years of age <1% 12 $365.88

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 officialCARDON, CREED (OWNER)
Same official

Other billing entities under CARDON, CREED

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.