Dental
Beau Evans Family Dentistry PLLC
Beau Evans Family Dentistry PLLC was paid $69K by Medicaid between Jan 2018 and May 2019, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoBEAU EVANS FAMILY DENTISTRY PLLC
HENRYETTA, OK 74437
HENRYETTA, OK 74437
33aNPI1861814295assigned 01/21/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$69K
24GClaims3,132
24DCodes billed13
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#175 of 284
Median peer was paid$172K
This provider vs. median0.4×
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 | 2,263 | $48K | |
| 2019 | 869 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 462 | 462 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 560 | 560 | $10K |
| D1110 | Prophylaxis - adult | 15% | 259 | 259 | $10K |
| D1206 | Topical application of fluoride varnish | 12% | 607 | 607 | $8K |
| D0140 | Limited oral evaluation - problem focused | 9.1% | 234 | 230 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.7% | 42 | 12 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 324 | 316 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 68 | 36 | $4K |
| D0274 | Bitewings - four radiographic images | 4.7% | 123 | 123 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 290 | 151 | $2K |
| D0330 | Panoramic radiographic image | 2.7% | 46 | 46 | $2K |
| D0272 | Bitewings - two radiographic images | 2.0% | 85 | 85 | $1K |
1 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 32 | $775.85 |
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 officialEVANS, BEAU (DENTIST/OWNER)