Clinic
Heritage Dental Group LLC
Heritage Dental Group LLC was paid $160K by Medicaid between Feb 2018 and Nov 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoHERITAGE DENTAL GROUP LLC
NORMAN, OK 73072
NORMAN, OK 73072
33aNPI1881139319assigned 12/19/2016
33bProvider typeDental Clinic/Center
28Total paid$160K
24GClaims7,553
24DCodes billed13
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#43 of 112
Median peer was paid$86K
This provider vs. median1.9×
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 | 178 | $3K | |
| 2019 | 421 | $9K | |
| 2020 | 370 | $8K | |
| 2021 | 810 | $19K | |
| 2022 | 1,186 | $26K | |
| 2023 | 2,401 | $49K | |
| 2024incomplete | 2,187 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 1,219 | 1,186 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,713 | 1,676 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 1,845 | 1,804 | $28K |
| D1110 | Prophylaxis - adult | 13% | 460 | 456 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 832 | 818 | $12K |
| D0274 | Bitewings - four radiographic images | 5.7% | 306 | 306 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 908 | 642 | $7K |
| D0330 | Panoramic radiographic image | 2.0% | 66 | 66 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 26 | 17 | $3K |
| D0272 | Bitewings - two radiographic images | 1.2% | 102 | 95 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 40 | 40 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 24 | 21 | $603.68 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $362.00 |
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 officialABOU-NASSAR, ELIE (OWNER)