Green Country Dental Arts of Catoosa

Green Country Dental Arts of Catoosa was paid $182K by Medicaid between Jan 2018 and Sep 2021, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.

33Billing provider infoGREEN COUNTRY DENTAL ARTS OF CATOOSA
CATOOSA, OK 74015

33aNPI1932458312assigned 08/31/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$182K

24GClaims7,419

24DCodes billed16

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#140 of 284

Median peer was paid$172K

This provider vs. median1.1×

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	1,337	$34K
2019	843	$18K
2020	1,790	$42K
2021	3,449	$88K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	1,541	1,541	$31K
D1120	Dental cleaning, childProphylaxis - child	16%	992	992	$29K
D1206	Topical application of fluoride varnish	14%	1,684	1,681	$25K
D1110	Prophylaxis - adult	12%	486	486	$21K
D0274	Bitewings - four radiographic images	11%	671	671	$20K
D0330	Panoramic radiographic image	9.2%	355	355	$17K
D0220	Intraoral - periapical first radiographic image	4.3%	537	535	$8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	4.1%	61	12	$7K
D0150	Comprehensive oral evaluation - new or established patient	4.0%	250	250	$7K
D1208	Topical application of fluoride, excluding varnish	2.8%	357	357	$5K
D0230	Intraoral - periapical each additional radiographic image	2.2%	295	295	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.5%	29	17	$3K

4 more codes

D0272	Bitewings - two radiographic images	<1%	71	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	46	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	19	$1K
D0140	Limited oral evaluation - problem focused	<1%	25	$731.16

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 officialMICHAELSEN, SOREN (DENTIST)