Dental
Idental PLLC
Idental PLLC was paid $1.88M by Medicaid between Oct 2021 and Dec 2024, across 27 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 23% of everything it billed.
33Billing provider infoIDENTAL PLLC
OKLAHOMA CITY, OK 73115
OKLAHOMA CITY, OK 73115
33aNPI1932552080assigned 07/13/2016
33bProvider typeDentist
28Total paid$1.88M
24GClaims38,167
24DCodes billed27
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#14 of 150
Median peer was paid$154K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2021 | 2,097 | $82K | |
| 2022 | 11,628 | $489K | |
| 2023 | 13,863 | $815K | |
| 2024incomplete | 10,579 | $497K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 23% | 3,509 | 845 | $425K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 17% | 2,115 | 1,126 | $329K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 1,363 | 802 | $152K |
| D2394 | 7.0% | 764 | 462 | $132K | |
| D5214 | 4.7% | 91 | 91 | $88K | |
| D0274 | Bitewings - four radiographic images | 4.5% | 2,775 | 2,705 | $84K |
| D5213 | 4.3% | 83 | 83 | $82K | |
| D1110 | Prophylaxis - adult | 4.3% | 1,786 | 1,752 | $81K |
| D0330 | Panoramic radiographic image | 4.0% | 1,576 | 1,560 | $76K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 4,777 | 4,629 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 2,737 | 2,691 | $57K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 7,296 | 4,303 | $56K |
15 more codes
| D1120 | Dental cleaning, child | 2.7% | 1,690 | $51K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 2,724 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,312 | $39K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 1,180 | $32K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 725 | $22K |
| D1351 | Sealant - per tooth | <1% | 576 | $14K |
| D2335 | <1% | 101 | $12K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 170 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 411 | $8K |
| D2332 | <1% | 62 | $7K | |
| D5422 | <1% | 135 | $5K | |
| D5421 | <1% | 71 | $3K | |
| D5410 | <1% | 68 | $3K | |
| D3120 | <1% | 54 | $2K | |
| D0603 | <1% | 16 | $146.40 |
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 officialRHODES, TOBY (DENTIST)