OKLAHOMA DENTAL-SOUTH
NPI: 1043370513
· OKLAHOMA CITY, OK 73159
· General Practice Dentistry
· NPI assigned 12/12/2006
Provider Details
| Authorized Official | CASTEEL, DIANE (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 12/12/2006 |
Related Entities
Other providers sharing the same authorized official: CASTEEL, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
82 |
$2K |
| 2023 |
207 |
$6K |
| 2024 |
112 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
201 |
191 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
66 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$804.15 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$699.84 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
41 |
$590.88 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$420.68 |