Dental
Odusanwo, Olutayo
Odusanwo, Olutayo was paid $884K by Medicaid between Aug 2019 and Nov 2023, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoODUSANWO, OLUTAYO
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1821492505assigned 10/09/2014
33bProvider typeDentist
28Total paid$884K
24GClaims19,847
24DCodes billed22
24AFirst – last monthAug 2019 – Nov 2023
Compared with peers
Next to other Dentist providers in Rhode Island
Rank by total paid#20 of 93
Median peer was paid$115K
This provider vs. median7.7×
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 | |
|---|---|---|---|
| 2019 | 522 | $16K | |
| 2020 | 489 | $15K | |
| 2021 | 3,065 | $152K | |
| 2022 | 9,388 | $410K | |
| 2023 | 6,383 | $292K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 3,108 | 3,067 | $136K |
| D1206 | Topical application of fluoride varnish | 14% | 3,558 | 3,517 | $128K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 918 | 326 | $126K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 3,237 | 3,200 | $77K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 886 | 568 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | 7.2% | 754 | 365 | $64K |
| D1351 | Sealant - per tooth | 7.2% | 1,969 | 647 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 397 | 324 | $42K |
| D0330 | Panoramic radiographic image | 3.8% | 526 | 526 | $34K |
| D1110 | Prophylaxis - adult | 3.8% | 544 | 544 | $33K |
| D0272 | Bitewings - two radiographic images | 2.7% | 991 | 991 | $24K |
| D0274 | Bitewings - four radiographic images | 2.6% | 688 | 688 | $23K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 427 | $14K |
| D1354 | 1.4% | 508 | $13K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 274 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 300 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 563 | $8K |
| D9420 | <1% | 30 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 105 | $3K |
| D0240 | <1% | 33 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18 | $270.00 |
| D0270 | <1% | 13 | $195.00 |
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.