Dental
Dynamic Dentisty, PLLC
Dynamic Dentisty, PLLC was paid $97K by Medicaid between Jan 2018 and Jun 2019, across 17 billing codes.
Its largest line is D2392 , Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33 Billing provider infoDYNAMIC DENTISTY, PLLC
33a NPI1831473743 assigned 10/11/2011
28 Total paid$97K
24G Claims4,512
24D Codes billed17
24A First – last monthJan 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid #158 of 284
Median peer was paid $172K
This provider vs. median 0.6×
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 Proliferation Authorized official KELLY, MARK controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $5.0K $10K $15K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2018 3,298 $75K 2019 1,214 $22K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent
22% 249
123
$21K
D1120 Dental cleaning, childProphylaxis - child
12% 400
400
$11K
D0220 Intraoral - periapical first radiographic image
9.3% 637
628
$9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient
9.2% 456
456
$9K
D0230 Intraoral - periapical each additional radiographic image
9.1% 1,237
504
$9K
D1208 Topical application of fluoride, excluding varnish
8.7% 601
601
$8K
D1110 Prophylaxis - adult
7.0% 162
162
$7K
D1320 5.3% 167
167
$5K
D0274 Bitewings - four radiographic images
5.2% 180
180
$5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis
3.6% 150
142
$4K
D0350 2.5% 83
82
$2K
D9248 1.5% 12
12
$2K
5 more codes
D0140 Limited oral evaluation - problem focused
1.3%
47
$1K
D1351 Sealant - per tooth
1.2%
51
$1K
D0150 Comprehensive oral evaluation - new or established patient
1.1%
38
$1K
D2391 Resin-based composite - one surface, posterior, primary or permanent
1.0%
18
$1K
D0240 <1%
24
$406.08
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
Provider Location Paid
ST. Francis Medical Center Trenton, NJ $30.60M De LA Pena Eye Clinic, a Medical Group, INC. Montebello, CA $18.75M Children's Hospital of Orange County Orange, CA $11.86M Children's Hospital of Orange County Orange, CA $8.23M Children's Hospital of Orange County Orange, CA $5.33M Children's Hospital of Orange County Orange, CA $5.33M Children's Hospital of Orange County Orange, CA $4.84M Children's Hospital of Orange County Orange, CA $4.74M Children's Hospital of Orange County Orange, CA $4.70M Children's Hospital of Orange County Orange, CA $4.31M Children's Hospital of Orange County Orange, CA $3.82M Children's Hospital of Orange County Orange, CA $3.47M Children's Hospital of Orange County Orange, CA $3.10M Children's Hospital of Orange County Orange, CA $2.14M Children's Hospital of Orange County Orange, CA $2.09M Children's Hospital of Orange County Orange, CA $1.93M Children's Hospital of Orange County Orange, CA $1.47M Children's Hospital of Orange County Orange, CA $1.43M Children's Hospital of Orange County Orange, CA $1.31M Children's Hospital of Orange County Orange, CA $1.25M
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.