Andrea Matli Scoville DDS PC

Andrea Matli Scoville DDS PC was paid $738.29 by Medicaid between Aug 2022 and Jul 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 69% of everything it billed.

33Billing provider infoANDREA MATLI SCOVILLE DDS PC
WATONGA, OK 73772

33aNPI1881991032assigned 02/24/2011

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$738.29

24GClaims41

24DCodes billed2

24AFirst – last monthAug 2022 – Jul 2023

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Oklahoma

Rank by total paid#37 of 37

Median peer was paid$612K

This provider vs. median0.0×

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

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
2022	28	$503.55
2023	13	$234.74

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	69%	26	26	$509.69
D1208	Topical application of fluoride, excluding varnish	31%	15	15	$228.60

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 officialSCOVILLE, ANDREA (OWNER)