NPI: 1164831384 · OKLAHOMA CITY, OK 73109 · General Practice Dentistry · NPI assigned 08/13/2014
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (MANAGER) |
| NPI Enumeration Date | 08/13/2014 |
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 |
| 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 |
| SHATTUCK DENTISTRY & BRACES | SHATTUCK | OK | $128K |
| 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 | 3,169 | $91K |
| 2019 | 2,680 | $67K |
| 2020 | 2,229 | $59K |
| 2021 | 1,261 | $33K |
| 2022 | 1,732 | $44K |
| 2023 | 45 | $772.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 681 | 373 | $61K |
| D1110 | Prophylaxis - adult | 983 | 983 | $44K |
| D0120 | Periodic oral evaluation - established patient | 1,865 | 1,865 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 2,131 | 2,131 | $32K |
| D1120 | Prophylaxis - child | 1,031 | 1,031 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 1,560 | 1,548 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 322 | 177 | $19K |
| D0274 | Bitewings - four radiographic images | 434 | 434 | $13K |
| D0330 | Panoramic radiographic image | 251 | 251 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,203 | 1,169 | $9K |
| D1351 | Sealant - per tooth | 244 | 86 | $6K |
| D0272 | Bitewings - two radiographic images | 233 | 233 | $4K |
| D0140 | Limited oral evaluation - problem focused | 81 | 80 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 71 | 71 | $2K |
| D0350 | 26 | 26 | $733.20 |