Dental
Dental Lodge, PLC
Dental Lodge, PLC was paid $155K by Medicaid between Sep 2018 and Nov 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoDENTAL LODGE, PLC
NOBLE, OK 73068
NOBLE, OK 73068
33aNPI1831429042assigned 01/11/2010
33bProvider typeDentist
28Total paid$155K
24GClaims7,556
24DCodes billed14
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#75 of 150
Median peer was paid$154K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 86 | $2K | |
| 2019 | 786 | $16K | |
| 2020 | 1,479 | $28K | |
| 2021 | 365 | $8K | |
| 2022 | 1,178 | $26K | |
| 2023 | 2,410 | $47K | |
| 2024incomplete | 1,252 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 862 | 862 | $24K |
| D0274 | Bitewings - four radiographic images | 16% | 830 | 830 | $24K |
| D1206 | Topical application of fluoride varnish | 15% | 1,545 | 1,545 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,179 | 1,179 | $24K |
| D1110 | Prophylaxis - adult | 9.9% | 355 | 355 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 882 | 858 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 1,178 | 586 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 263 | 233 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 220 | 220 | $7K |
| D0330 | Panoramic radiographic image | 3.6% | 122 | 122 | $6K |
| D0350 | <1% | 43 | 43 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | 15 | $1K |
2 more codes
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 officialNABORS, GARY (OWNER)