NPI: 1114449394 · SHATTUCK, OK 73858 · Dentist · NPI assigned 07/10/2017
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (MANAGER) |
| NPI Enumeration Date | 07/10/2017 |
Other providers sharing the same authorized official: BOWMAN, BENJAMIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EL RENO DENTAL | EL RENO | OK | $649K |
| WOODLAND DENTISTRY AND BRACES | TULSA | OK | $552K |
| DENTAL LODGE OF PURCELL | PURCELL | OK | $465K |
| HARRAH DENTISTRY & BRACES | HARRAH | OK | $397K |
| KINGFISHER DENTAL PLLC | KINGFISHER | OK | $392K |
| CAPITOL HILL DENTISTRY & BRACES PLLC | OKLAHOMA CITY | OK | $295K |
| WEATHERFORD DENTISTRY & BRACES | WEATHERFORD | OK | $278K |
| DENTAL SURGERY CENTER OF MIDWEST CITY | OKLAHOMA CITY | OK | $249K |
| CHOCTAW DENTAL PLLC | CHOCTAW | OK | $214K |
| CLEVELAND DENTISTRY AND BRACES | CLEVELAND | OK | $210K |
| MUSTANG DENTISTRY & BRACES | MUSTANG | OK | $184K |
| SULPHUR DENTISTRY & BRACES | SULPHUR | OK | $152K |
| SAPULPA DENTISTRY AND BRACES | SAPULPA | OK | $136K |
| I240 DENTAL, PLLC | OKLAHOMA CITY | OK | $125K |
| YUKON DENTISTRY & BRACES | YUKON | OK | $117K |
| SAND SPRINGS DENTISTRY AND BRACES | SAND SPRINGS | OK | $72K |
| MIDWEST CITY FAMILY DENTISTRY | OKLAHOMA CITY | OK | $60K |
| RICHFIELD FAMILY DENTAL | RICHFIELD | UT | $60K |
| ADA DENTISTRY AND BRACES | ADA | OK | $53K |
| MUSTANG NORTH DENTAL | YUKON | OK | $48K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,687 | $41K |
| 2019 | 3,114 | $56K |
| 2020 | 1,543 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 1,242 | 1,218 | $18K |
| D0120 | Periodic oral evaluation - established patient | 885 | 885 | $17K |
| D1120 | Prophylaxis - child | 585 | 585 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,335 | 1,130 | $17K |
| D1110 | Prophylaxis - adult | 370 | 370 | $16K |
| D1206 | Topical application of fluoride varnish | 907 | 906 | $13K |
| D0274 | Bitewings - four radiographic images | 273 | 273 | $8K |
| D0350 | 260 | 260 | $8K | |
| D0330 | Panoramic radiographic image | 125 | 125 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 128 | 128 | $2K |
| D0140 | Limited oral evaluation - problem focused | 57 | 57 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 41 | 41 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 79 | 79 | $1K |
| D1351 | Sealant - per tooth | 31 | 12 | $756.40 |