Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Moore › NPI 1801303888
Dental

Wisdom Tooth Center, PLLC

Wisdom Tooth Center, PLLC was paid $1.86M by Medicaid between Aug 2018 and Nov 2024, across 9 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 65% of everything it billed.

33Billing provider infoWISDOM TOOTH CENTER, PLLC
MOORE, OK 73160
33aNPI1801303888assigned 12/29/2017
28Total paid$1.86M
24GClaims16,263
24DCodes billed9
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Oklahoma

Rank by total paid#6 of 38
Median peer was paid$378K
This provider vs. median4.9×

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 SMITH, KEVIN controls 16+ 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
2018155$17K
20191,435$162K
20201,854$224K
20213,481$391K
20223,841$428K
20234,108$472K
2024incomplete1,389$161K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 65% 5,949 1,857 $1.21M
D9222 10% 2,567 2,558 $192K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 9.6% 1,679 1,671 $179K
D9310 7.3% 2,914 2,866 $135K
D9610 3.8% 2,507 2,494 $71K
D7241 1.8% 120 56 $34K
D7140 Extraction, erupted tooth or exposed root <1% 266 85 $17K
D7230 <1% 68 39 $11K
D0330 Panoramic radiographic image <1% 193 193 $8K

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 officialSMITH, KEVIN (PARTNER)
Same official

Other billing entities under SMITH, KEVIN

Full network →
ProviderLocationPaid
Inogen INCGoleta, CA$12.02M
Asap EMS CorporationLaurel, MS$5.36M
Jackson Emergency Transport Service, LLCGrove Hill, AL$3.97M
Miss-Lou Ambulance Service LLCNatchez, MS$3.01M
Inogen INCAurora, CO$2.13M
Advanced E.M.S., INC.Andalusia, AL$1.68M
Spectrum Health Continuing CareNewaygo, MI$1.56M
Inogen INCPlano, TX$525K
Inogen INCSmyrna, TN$209K
Inogen INCHuntsville, AL$121K
Northwinds Counseling Services, P.A.Rogers, MN$33K
Kevin G. Smith PHD and AssociatesHouston, TX$29K
Global Vision CenterParkville, MD$20K
City of ColumbianaColumbiana, OH$5K
Integrated Pain Specialists of Southern California, INC.San Diego, CA$2K
Winchester HospitalWinchester, MA$243.94

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