NPI: 1114169661 · BOWLING GREEN, KY 42101 · General Practice Dentistry · NPI assigned 03/30/2009
| Authorized Official | SOWELL, RONALD (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 03/30/2009 |
Other providers sharing the same authorized official: SOWELL, RONALD
| Provider | City | State | Total Paid |
|---|---|---|---|
| COMMONWEALTH HEALTH CORPORATION, INC | BOWLING GREEN | KY | $1.17M |
| COMMONWEALTH HEALTH CORPORATION, INC | BOWLING GREEN | KY | $453K |
| COMMONWEALTH HEALTH CORPORATION, INC | FRANKLIN | KY | $182K |
| COMMONWEALTH HEALTH CORPORATION, INC | SCOTTSVILLE | KY | $152K |
| COMMONWEALTH HEALTH CORPORATION, INC | BOWLING GREEN | KY | $71K |
| COMMONWEALTH HEALTH CORPORATION, INC | BOWLING GREEN | KY | $61K |
| COMMONWEALTH HEALTH CORPORATION, INC. | SCOTTSVILLE | KY | $48K |
| COMMONWEALTH HEALTH CORPORATION, INC. | BOWLING GREEN | KY | $31K |
| COMMONWEALTH HEALTH CORPORATION, INC | HOPKINSVILLE | KY | $8K |
| COMMONWEALTH HEALTH CORPORATION, INC. | BOWLING GREEN | KY | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $1K |
| 2019 | 161 | $2K |
| 2020 | 251 | $5K |
| 2021 | 913 | $16K |
| 2022 | 1,144 | $32K |
| 2023 | 1,837 | $71K |
| 2024 | 1,536 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,182 | 1,089 | $44K |
| D0330 | Panoramic radiographic image | 698 | 669 | $36K |
| D0140 | Limited oral evaluation - problem focused | 1,387 | 1,230 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,249 | 1,141 | $29K |
| D0274 | Bitewings - four radiographic images | 807 | 736 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 181 | 82 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 335 | 272 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15 | 13 | $891.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16 | 12 | $836.00 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $56.00 |