NORTH PARK FAMILY DENTAL

NPI: 1174168678 · EDMOND, OK 73034 · Dental Clinic/Center · NPI assigned 11/08/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official NELSON, BRAD controls 11+ related entities in our dataset. Read more

$50K

Total Medicaid Paid

1,926

Total Claims

1,760

Beneficiaries

Codes Billed

2021-10

First Month

2024-11

Last Month

Provider Details

Authorized Official	NELSON, BRAD (OWNER)
NPI Enumeration Date	11/08/2019

Other providers sharing the same authorized official: NELSON, BRAD

Provider	City	State	Total Paid
DUNCAN DENTAL AND IMPLANTS	DUNCAN	OK	$1.09M
SHAWNEE DENTISTRY AND BRACES	SHAWNEE	OK	$874K
EXCEL DENTISTRY AND BRACES	OKLAHOMA CITY	OK	$319K
BRIXTON FAMILY DENTAL	OKLAHOMA CITY	OK	$71K
LAWTON DENTAL AND IMPLANTS, LLC	LAWTON	OK	$40K
SOUTHERN POINTE DENTAL AND IMPLANTS LLC	TULSA	OK	$15K
COWETA DENTAL AND IMPLANTS	COWETA	OK	$14K
PURCELL FAMILY DENTAL LLC	PURCELL	OK	$11K
PERRY SMILES	PERRY	OK	$6K
MUSKOGEE DENTAL AND IMPLANTS LLC	MUSKOGEE	OK	$6K
STILLWATER DENTAL AND IMPLANTS, LLC	STILLWATER	OK	$4K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	226	211	$11K
D0150	Comprehensive oral evaluation - new or established patient	236	236	$7K
D1206	Topical application of fluoride varnish	358	339	$6K
D0120	Periodic oral evaluation - established patient	289	277	$6K
D0274	Bitewings - four radiographic images	132	132	$4K
D0330	Panoramic radiographic image	80	80	$4K
D0220	Intraoral - periapical first radiographic image	253	249	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	34	15	$3K
D1120	Prophylaxis - child	89	89	$3K
D0230	Intraoral - periapical each additional radiographic image	202	105	$2K
D0601		27	27	$247.05