NPI: 1003196239 · OKLAHOMA CITY, OK 73139 · General Practice Dentistry · NPI assigned 08/19/2011
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (PRESIDENT) |
| NPI Enumeration Date | 08/19/2011 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 9,250 | $255K |
| 2022 | 35,992 | $1.08M |
| 2023 | 35,038 | $1.09M |
| 2024 | 32,418 | $1.03M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3,642 | 1,331 | $428K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,638 | 2,506 | $397K |
| D1110 | Prophylaxis - adult | 7,052 | 6,741 | $314K |
| D0220 | Intraoral - periapical first radiographic image | 18,012 | 17,172 | $268K |
| D0274 | Bitewings - four radiographic images | 8,828 | 8,525 | $264K |
| D0120 | Periodic oral evaluation - established patient | 12,386 | 11,887 | $260K |
| D1120 | Prophylaxis - child | 8,301 | 7,995 | $251K |
| D0330 | Panoramic radiographic image | 5,072 | 4,801 | $242K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,370 | 997 | $207K |
| D0230 | Intraoral - periapical each additional radiographic image | 19,974 | 16,012 | $150K |
| D1206 | Topical application of fluoride varnish | 7,162 | 6,595 | $131K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,634 | 3,448 | $109K |
| D1208 | Topical application of fluoride, excluding varnish | 5,932 | 5,932 | $89K |
| D0140 | Limited oral evaluation - problem focused | 2,786 | 2,704 | $83K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 540 | 359 | $66K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 918 | 652 | $55K |
| D2160 | 284 | 194 | $47K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,583 | 1,514 | $43K |
| D0272 | Bitewings - two radiographic images | 548 | 541 | $10K |
| D7250 | 69 | 26 | $9K | |
| D2394 | 47 | 34 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 117 | 73 | $8K |
| D2332 | 66 | 40 | $7K | |
| D1351 | Sealant - per tooth | 209 | 54 | $5K |
| D2140 | 54 | 42 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | 190 | 85 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 72 | 72 | $2K |
| D0601 | 95 | 95 | $869.25 | |
| D3120 | 28 | 24 | $854.00 | |
| D0603 | 47 | 47 | $430.05 | |
| D0602 | 42 | 42 | $384.30 |