NPI: 1063899771 · BIXBY, OK 74008 · Dental Clinic/Center · NPI assigned 05/01/2015
| Authorized Official | HANUS, HUNTER (OWNER/PRESIDENT) |
| NPI Enumeration Date | 05/01/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 550 | $10K |
| 2019 | 68 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 227 | 227 | $4K |
| D1120 | Prophylaxis - child | 149 | 149 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 189 | 189 | $3K |
| D1110 | Prophylaxis - adult | 12 | 12 | $507.48 |
| D1206 | Topical application of fluoride varnish | 29 | 29 | $393.99 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $203.04 |