Dental
Main Street Dental Associates
Main Street Dental Associates was paid $625K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoMAIN STREET DENTAL ASSOCIATES
MIAMI, OK 74354
MIAMI, OK 74354
33aNPI1881860211assigned 05/06/2008
33bProvider typeDentist
28Total paid$625K
24GClaims20,844
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#39 of 150
Median peer was paid$154K
This provider vs. median4.1×
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 | 4,753 | $141K | |
| 2019 | 4,913 | $159K | |
| 2020 | 3,606 | $95K | |
| 2021 | 2,499 | $72K | |
| 2022 | 2,793 | $96K | |
| 2023 | 1,488 | $42K | |
| 2024incomplete | 792 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 2,006 | 961 | $183K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,766 | 2,752 | $82K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 3,860 | 3,830 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 2,720 | 2,692 | $57K |
| D1110 | Prophylaxis - adult | 8.8% | 1,229 | 1,222 | $55K |
| D0274 | Bitewings - four radiographic images | 6.8% | 1,444 | 1,439 | $43K |
| D0330 | Panoramic radiographic image | 5.9% | 796 | 794 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 1,577 | 1,561 | $23K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 746 | 733 | $22K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.7% | 145 | 69 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 477 | 477 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 1,308 | 668 | $9K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 260 | $7K |
| D0603 | <1% | 593 | $5K | |
| D0602 | <1% | 536 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 227 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 24 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 27 | $1K |
| D0601 | <1% | 87 | $795.61 |
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 officialJOURDAN, THOMAS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Jourdan Family Dentistry | Vinita, OK | $291K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.