Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCardelyn Dds Inc PC
    Ask Trek AI about this page

    Cardelyn Dds Inc PC — Billing Profile & Reimbursement Data

    NPI 1720514805 · Tulsa, OK · Dentist

    Customize your policy alerts

    Sign up for Cardelyn Dds Inc PC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Cardelyn Dds Inc PC is a dentist provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools
    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationCardelyn Dds Inc PC
    Address10342 E 21st St
    CityTulsa
    StateOK
    ZIP74129
    TaxonomyDentist
    NPI EnumeratedMay 10, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2393Resin-based composite, three surfaces, posterior4,920$150$752K
    D1120Prophylaxis–child15,780$30$473.5K
    D2930N/A3,680$120$448.5K
    D2392Post 2 surface resin‑based composite3,800$110$433.7K
    D0120Periodic oral evaluation - established patient18,920$20$397.3K
    D3220N/A3,670$90$333.5K
    D1208Topical application of fluoride - excluding varnish20,910$20$313.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5,240$50$240.9K
    D0330N/A3,620$50$177.5K
    D0272N/A8,420$20$151.5K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oklahoma median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A26901,120$120$530.4K
    D3220N/A960560$90$191.9K
    D2392Post 2 surface resin‑based composite29330530$100$162.1K
    D2393Resin-based composite, three surfaces, posterior4190300$140$128.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)50240280$70$91.8K
    D1120Prophylaxis–child16470730$30$77.5K
    D0120Periodic oral evaluation - established patient17540910$20$61.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth33480530$40$57.4K
    D0330N/A35420360$50$49.5K
    D2391Resin‑based composite – one surface, posterior168250230$60$43.4K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Cardelyn Dds Inc PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oklahoma Healthcare Services, LLCOKHome Health Agency$0$32.8M
    Tulsa Emergency Medical Center IncOKUrgent Care Clinic/Center$0$23.7M
    Community Health Connection IncOKFederally Qualified Health Center (FQHC)$0$14.1M
    Shortline Dental PLLCOKGeneral Practice Dentistry$0$10.3M
    Family & Children's Services, IncOKCommunity/Behavioral Health Agency$0$5.1M
    Estrellitas Pediatrics Christy Stewart Aprn, CnpOKPrimary Care Nurse Practitioner$0$4.7M
    Dental Depot Of TulsaOKGeneral Practice Dentistry$0$4.3M
    Morton Comprehensive Health Services, IncOKFederally Qualified Health Center (FQHC)$0$2.9M
    Anew Dawn Counseling Services LLCOKMental Health Counselor$0$2.6M
    Family Hope House, PLLCOKMental Health Counselor$0$2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Cardelyn Dds Inc PC — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma