Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Olive Dental Okc PLLC

Olive Dental Okc PLLC was paid $54K by Medicaid between Apr 2021 and Jan 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoOLIVE DENTAL OKC PLLC
WARR ACRES, OK 73132
33aNPI1902444169assigned 12/18/2019
28Total paid$54K
24GClaims1,881
24DCodes billed10
24AFirst – last monthApr 2021 – Jan 2024
Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#185 of 284
Median peer was paid$172K
This provider vs. median0.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2021215$6K
2022725$22K
2023923$26K
2024incomplete18$382.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 23% 258 258 $12K
D0274 Bitewings - four radiographic images 18% 315 315 $10K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 386 386 $8K
D0150 Comprehensive oral evaluation - new or established patient 13% 230 230 $7K
D1120 Dental cleaning, childProphylaxis - child 11% 188 188 $6K
D0330 Panoramic radiographic image 6.3% 69 69 $3K
D1206 Topical application of fluoride varnish 5.4% 151 151 $3K
D1208 Topical application of fluoride, excluding varnish 5.0% 176 176 $3K
D0220 Intraoral - periapical first radiographic image 2.7% 93 93 $1K
D0140 Limited oral evaluation - problem focused <1% 15 15 $437.50

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 officialONLEY, BRANDON (MANAGER)