Dental
Skiatook Family Dentistry
Skiatook Family Dentistry was paid $287K by Medicaid between Jan 2018 and Aug 2021, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoSKIATOOK FAMILY DENTISTRY
SKIATOOK, OK 74070
SKIATOOK, OK 74070
33aNPI1962732164assigned 01/11/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$287K
24GClaims10,793
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#117 of 284
Median peer was paid$172K
This provider vs. median1.7×
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 | 3,048 | $81K | |
| 2019 | 2,723 | $68K | |
| 2020 | 2,986 | $81K | |
| 2021 | 2,036 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,681 | 2,681 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,858 | 1,858 | $54K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 523 | 331 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,358 | 2,358 | $34K |
| D1110 | Prophylaxis - adult | 9.9% | 655 | 655 | $28K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.3% | 936 | 886 | $24K |
| D0272 | Bitewings - two radiographic images | 5.0% | 828 | 828 | $14K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 271 | 267 | $8K |
| D0330 | Panoramic radiographic image | 2.1% | 132 | 132 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 103 | 75 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 193 | 193 | $5K |
| D0274 | Bitewings - four radiographic images | 1.6% | 156 | 156 | $5K |
3 more codes
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 officialSELLMEYER, DRAKE (DENTIST)