TULSA TIME DENTAL DESIGN
NPI: 1013660497
· TULSA, OK 74112
· Dental Clinic/Center
· NPI assigned 01/27/2022
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | FRANKLIN, RICHARD (DENTIST/OWNER) |
| Parent Organization | TULSA TIME DENTAL DESIGN |
| NPI Enumeration Date | 01/27/2022 |
Related Entities
Other providers sharing the same authorized official: FRANKLIN, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
118 |
$4K |
| 2023 |
1,573 |
$118K |
| 2024 |
234 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
662 |
151 |
$88K |
| D0330 |
Panoramic radiographic image |
334 |
334 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
359 |
359 |
$11K |
| D0274 |
Bitewings - four radiographic images |
193 |
193 |
$6K |
| D1110 |
Prophylaxis - adult |
126 |
126 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
172 |
170 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
64 |
64 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
12 |
$125.85 |