Clinic
Mcalester Children's Dental Clinic
Mcalester Children's Dental Clinic was paid $3.29M by Medicaid between Sep 2021 and Dec 2024, across 28 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 37% of everything it billed.
33Billing provider infoMCALESTER CHILDREN'S DENTAL CLINIC
MCALESTER, OK 74501
MCALESTER, OK 74501
33aNPI1841572591assigned 09/19/2011
33bProvider typeDental Clinic/Center
28Total paid$3.29M
24GClaims72,507
24DCodes billed28
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#6 of 112
Median peer was paid$86K
This provider vs. median38×
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 | |
|---|---|---|---|
| 2021 | 5,166 | $230K | |
| 2022 | 22,284 | $1.02M | |
| 2023 | 23,133 | $1.14M | |
| 2024incomplete | 21,924 | $910K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 37% | 10,131 | 2,254 | $1.21M |
| D7140 | Extraction, erupted tooth or exposed root | 8.9% | 4,437 | 1,814 | $292K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 9,030 | 8,786 | $274K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.3% | 2,311 | 1,081 | $207K |
| D1354 | 5.6% | 2,882 | 756 | $184K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 8,555 | 8,308 | $182K |
| D1206 | Topical application of fluoride varnish | 5.3% | 10,089 | 9,806 | $175K |
| D0272 | Bitewings - two radiographic images | 2.9% | 5,348 | 5,232 | $97K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 3,580 | 3,506 | $96K |
| D1351 | Sealant - per tooth | 2.4% | 3,229 | 1,058 | $78K |
| D7962 | 1.9% | 298 | 273 | $62K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 3,825 | 3,715 | $57K |
16 more codes
| D0330 | Panoramic radiographic image | 1.6% | 1,072 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 409 | $47K |
| D9310 | 1.4% | 958 | $46K | |
| D1110 | Prophylaxis - adult | 1.2% | 902 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 642 | $38K |
| D2934 | 1.1% | 249 | $36K | |
| D9248 | <1% | 246 | $32K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 811 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,424 | $18K |
| D2332 | <1% | 151 | $16K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 482 | $15K |
| D2330 | <1% | 142 | $9K | |
| D9610 | <1% | 110 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 93 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 83 | $3K |
| D3120 | <1% | 18 | $426.86 |
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 officialMCINTOSH, JANNA (PRESIDENT)