Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COTTONWOOD DENTAL MAIZE, PA

NPI: 1902413453 · WICHITA, KS 67209 · General Practice Dentistry · NPI assigned 09/29/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$186K
Total Medicaid Paid
8,552
Total Claims
6,832
Beneficiaries
17
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARDON, CREED (DDS)
NPI Enumeration Date09/29/2020

Related Entities

Other providers sharing the same authorized official: CARDON, CREED

ProviderCityStateTotal Paid
MCO PEDS PLLC JENKS OK $2.51M
OKLAHOMA CITY DENTAL SW, PLLC OKLAHOMA CITY OK $1.24M
SUMMER DENTAL STILLWATER, PLLC STILLWATER OK $1.22M
SAPULPA KIDS DENTAL PLLC SAPULPA OK $1.12M
SPRING ORTHODONTICS TULSA TULSA OK $1.03M
SPRING DENTAL COLLINSVILLE, PLLC COLLINSVILLE OK $1.01M
OKC 89TH DENTAL, PLLC OKLAHOMA CITY OK $962K
TULSA KIDS DENTAL PLLC TULSA OK $857K
WITCHITA 21ST DENTAL, PA WICHITA KS $802K
SUMMER DENTAL MIDWEST CITY, PLLC MIDWEST CITY OK $454K
SPRING DENTAL VINITA, PLLC VINITA OK $371K
RIVER DENTAL SILOAM SPRINGS, PLLC SILOAM SPRINGS AR $267K
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC TULSA OK $194K
REDBUD DENTAL EDMOND, PLLC EDMOND OK $157K
DENTAL CARE OF WICHITA PA WICHITA KS $73K
RIVER DENTAL ROGERS SOUTH, PLLC ROGERS AR $66K
RIVER DENTAL ROGERS, PLLC ROGERS AR $61K
MARION FAMILY SMILES, P.A. MARION KS $56K
OWASSO PEDIATRIC DENTISTRY, PLLC OWASSO OK $45K
WILLOW DENTAL BELLEVUE, LLC BELLEVUE NE $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,124 $21K
2023 4,319 $100K
2024 3,109 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 849 778 $31K
D1110 Prophylaxis - adult 765 702 $29K
D0274 Bitewings - four radiographic images 1,005 926 $27K
D0140 Limited oral evaluation - problem focused 745 684 $19K
D1351 Sealant - per tooth 664 63 $18K
D0150 Comprehensive oral evaluation - new or established patient 606 540 $16K
D0220 Intraoral - periapical first radiographic image 1,555 1,297 $12K
D0120 Periodic oral evaluation - established patient 428 401 $8K
D0230 Intraoral - periapical each additional radiographic image 1,346 1,041 $8K
D7140 Extraction, erupted tooth or exposed root 189 40 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 63 36 $5K
D1208 Topical application of fluoride, excluding varnish 199 190 $3K
D1120 Prophylaxis - child 46 46 $1K
D1206 Topical application of fluoride varnish 27 26 $471.36
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14 12 $371.40
D0272 Bitewings - two radiographic images 13 13 $260.57
D0470 38 37 $0.00