Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Bristow Dental Designs, LLC

Bristow Dental Designs, LLC was paid $515K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.

33Billing provider infoBRISTOW DENTAL DESIGNS, LLC
BRISTOW, OK 74010
33aNPI1851531826assigned 03/03/2009
28Total paid$515K
24GClaims25,389
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#81 of 284
Median peer was paid$172K
This provider vs. median3.0×

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

$0$10K$20K2018201920202021202220232024
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
20185,045$112K
20193,803$69K
20202,616$48K
20213,614$74K
20223,810$79K
20233,380$72K
2024incomplete3,121$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 14% 2,347 2,340 $70K
D0220 Intraoral - periapical first radiographic image 12% 4,002 3,968 $60K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 2,748 2,743 $57K
D1110 Prophylaxis - adult 10% 1,193 1,185 $53K
D0230 Intraoral - periapical each additional radiographic image 9.7% 6,628 2,917 $50K
D1208 Topical application of fluoride, excluding varnish 9.3% 3,241 3,231 $48K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.7% 386 155 $35K
D0330 Panoramic radiographic image 6.3% 671 670 $33K
D0150 Comprehensive oral evaluation - new or established patient 5.9% 1,019 1,010 $31K
D0274 Bitewings - four radiographic images 5.7% 977 977 $29K
D0240 4.7% 1,401 1,393 $24K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.2% 441 396 $11K
4 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.2% 116 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 24 $4K
D0140 Limited oral evaluation - problem focused <1% 93 $3K
D0272 Bitewings - two radiographic images <1% 102 $2K

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 officialHENDRICKSON, AMANDA (DENTIST)