Dental
Custom Dental of Newcastle, PLLC
Custom Dental of Newcastle, PLLC was paid $25K by Medicaid between Dec 2021 and Oct 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoCUSTOM DENTAL OF NEWCASTLE, PLLC
NEWCASTLE, OK 73065
NEWCASTLE, OK 73065
33aNPI1871872135assigned 08/04/2011
33bProvider typeDentist
28Total paid$25K
24GClaims1,056
24DCodes billed6
24AFirst – last monthDec 2021 – Oct 2023
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#102 of 150
Median peer was paid$154K
This provider vs. median0.2×
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 | 26 | $439.08 | |
| 2022 | 487 | $11K | |
| 2023 | 543 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 366 | 366 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 155 | 155 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 308 | 308 | $5K |
| D1110 | Prophylaxis - adult | 16% | 91 | 91 | $4K |
| D0274 | Bitewings - four radiographic images | 12% | 106 | 106 | $3K |
| D0330 | Panoramic radiographic image | 5.6% | 30 | 30 | $1K |
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 officialRODGERS, RENE (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Comfort Dental of Sapulpa PLLC | Sapulpa, OK | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.