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    OpenPayerNPI Medicare & MedicaidShortline Dental PLLC
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    Shortline Dental PLLC — Billing Profile & Reimbursement Data

    NPI 1871612713 · Tulsa, OK · General Practice Dentistry

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    Shortline Dental PLLC is a general practice dentistry provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationShortline Dental PLLC
    Address9908 E 21st St
    CityTulsa
    StateOK
    ZIP74129
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedMarch 29, 2007

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

    Payer SourceTotal Paid
    Medicaid$10.3M
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite17,690$100$1.8M
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…7,210$120$865.1K
    D1120Prophylaxis–child26,000$30$780K
    D0120Periodic oral evaluation - established patient36,880$20$774.5K
    D2930N/A5,450$120$659.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth13,470$50$606.2K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)8,820$70$582.1K
    D0330N/A12,080$50$580K
    D1208Topical application of fluoride - excluding varnish36,950$20$554.3K
    D2393Resin-based composite, three surfaces, posterior3,510$140$484.8K

    Showing 1–10 of 34

    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

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A20901,120$120$530.4K
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.2570290$290$376.1K
    D7240N/A3960340$210$328.8K
    D9248N/A2740640$130$218.1K
    D3220N/A2060560$90$191.9K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…10180450$120$188.3K
    D7230N/A920170$170$163.1K
    D2392Post 2 surface resin‑based composite3330530$100$162.1K
    D2393Resin-based composite, three surfaces, posterior11190300$140$128.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)8240280$70$91.8K

    Showing 1–10 of 34

    Nearby Providers

    Other providers in the same ZIP code as Shortline Dental PLLC, 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
    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
    Cardelyn Dds Inc PCOKDentist$0$4.1M
    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
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Shortline Dental PLLC — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma