Clinic
Pediatric Dental Group II, LLC
Pediatric Dental Group II, LLC was paid $4.83M by Medicaid between Oct 2019 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL GROUP II, LLC
MIDWEST CITY, OK 73110
MIDWEST CITY, OK 73110
33aNPI1912553215assigned 08/13/2019
33bProvider typeDental Clinic/Center
28Total paid$4.83M
24GClaims158,548
24DCodes billed28
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#1 of 112
Median peer was paid$86K
This provider vs. median56×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 2,635 | $84K | |
| 2020 | 18,075 | $586K | |
| 2021 | 28,972 | $852K | |
| 2022 | 31,131 | $957K | |
| 2023 | 41,259 | $1.28M | |
| 2024incomplete | 36,476 | $1.08M |
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 | 16% | 7,330 | 4,621 | $783K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 19,018 | 18,615 | $576K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 4,288 | 2,843 | $514K |
| D1206 | Topical application of fluoride varnish | 8.0% | 23,258 | 22,840 | $388K |
| D1351 | Sealant - per tooth | 7.1% | 14,323 | 4,038 | $346K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 15,608 | 15,252 | $330K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.0% | 8,882 | 8,059 | $241K |
| D1110 | Prophylaxis - adult | 4.8% | 5,088 | 5,025 | $230K |
| D0330 | Panoramic radiographic image | 4.1% | 4,100 | 3,987 | $198K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 2,600 | 1,911 | $155K |
| D0272 | Bitewings - two radiographic images | 3.1% | 8,361 | 8,191 | $152K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 4,936 | 4,847 | $149K |
16 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 8,977 | $136K |
| D0274 | Bitewings - four radiographic images | 2.1% | 3,323 | $100K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 1,486 | $98K |
| D0603 | 1.9% | 9,996 | $91K | |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 2,035 | $61K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 7,844 | $60K |
| D7111 | <1% | 734 | $44K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 461 | $42K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,160 | $35K |
| D0602 | <1% | 3,561 | $32K | |
| D9248 | <1% | 212 | $29K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 198 | $26K |
| D0350 | <1% | 503 | $15K | |
| D0601 | <1% | 240 | $2K | |
| D9310 | <1% | 12 | $585.36 | |
| D0270 | <1% | 14 | $213.36 |
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 officialURBANOZO, SHAUN (CREDENTIALING MANAGER)
Parent organizationPEDIATRIC DENTAL GROUP II, LLC
| Provider | Location | Paid |
|---|---|---|
| Misner Dental Corp | Huntington Park, CA | $21.95M |
| Academy Kids Dental Center PC | Colorado Springs, CO | $20.71M |
| Hero Dental of Denver PC | Denver, CO | $20.64M |
| Hero Dental of Washington DC PC | Washington, DC | $19.23M |
| Captain Smiles of Greeley PC | Greeley, CO | $18.75M |
| Twin Lakes Dental PA | Wichita, KS | $16.74M |
| Montano DDS Dental Center PC | Baltimore, MD | $16.50M |
| Hero Vision of Greeley LLC | Greeley, CO | $15.43M |
| Hero Dental of Landover Hills PC - Ronald B Montano DDS | Landover Hills, MD | $14.45M |
| Hero Dental of Aurora PC | Aurora, CO | $13.98M |
| Hero Dental of Springs PC | Colorado Springs, CO | $13.58M |
| Hero Dental of Albuquerque PC | Albuquerque, NM | $13.55M |
| Ronald B Montano DDS PC | Baltimore, MD | $12.21M |
| Hero Vision of Longmont, LLC | Longmont, CO | $11.88M |
| Country Club Dental PA | Topeka, KS | $11.68M |
| Hero Dental of Washington DC PC | Washington, DC | $11.68M |
| R. Misner Dental Corporation | Glendale, CA | $10.86M |
| Parklane Dental PA | Wichita, KS | $10.35M |
| Hero Dental of Springs PC | Colorado Springs, CO | $9.33M |
| Pediatric Dental Group II, LLC | Tulsa, OK | $8.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.