Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

I240 DENTAL, PLLC

NPI: 1225683311 · OKLAHOMA CITY, OK 73159 · Dental Clinic/Center · NPI assigned 08/06/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more

$125K
Total Medicaid Paid
5,231
Total Claims
3,862
Beneficiaries
15
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWMAN, BENJAMIN (OWNER)
NPI Enumeration Date08/06/2019

Related Entities

Other providers sharing the same authorized official: BOWMAN, BENJAMIN

ProviderCityStateTotal 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
SHATTUCK DENTISTRY & BRACES SHATTUCK OK $128K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 41 $597.72
2023 1,865 $47K
2024 3,325 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 426 386 $20K
D0330 Panoramic radiographic image 347 294 $17K
D0230 Intraoral - periapical each additional radiographic image 1,545 573 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 98 59 $12K
D0220 Intraoral - periapical first radiographic image 772 727 $12K
D0120 Periodic oral evaluation - established patient 534 491 $11K
D0274 Bitewings - four radiographic images 364 340 $11K
D0150 Comprehensive oral evaluation - new or established patient 303 258 $9K
D1120 Prophylaxis - child 281 251 $9K
D1208 Topical application of fluoride, excluding varnish 385 346 $6K
D1320 77 59 $3K
D0140 Limited oral evaluation - problem focused 40 40 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 17 12 $1K
D0210 Intraoral - complete series of radiographic images 29 13 $529.21
D1206 Topical application of fluoride varnish 13 13 $241.47