NPI: 1003236969 · MUSTANG, OK 73064 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 652 | $14K |
| 2022 | 3,995 | $102K |
| 2023 | 4,597 | $129K |
| 2024 | 3,658 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,120 | 1,092 | $51K | |
| D2392 | 450 | 230 | $46K | |
| D1206 | 2,129 | 2,068 | $36K | |
| D0120 | 1,567 | 1,517 | $33K | |
| D0330 | 677 | 661 | $33K | |
| D0274 | 899 | 862 | $27K | |
| D1120 | 777 | 750 | $24K | |
| D0220 | 1,465 | 1,405 | $22K | |
| D1351 | 752 | 187 | $18K | |
| D0230 | 2,121 | 870 | $16K | |
| D0150 | 496 | 481 | $15K | |
| D0140 | 363 | 345 | $11K | |
| D2393 | 42 | 24 | $7K | |
| D9230 | 13 | 13 | $356.72 | |
| D0272 | 19 | 12 | $347.51 | |
| D0602 | 12 | 12 | $109.80 |