Clinic
I240 Dental, PLLC
I240 Dental, PLLC was paid $125K by Medicaid between Jun 2022 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoI240 DENTAL, PLLC
OKLAHOMA CITY, OK 73159
OKLAHOMA CITY, OK 73159
33aNPI1225683311assigned 08/06/2019
33bProvider typeDental Clinic/Center
28Total paid$125K
24GClaims5,231
24DCodes billed15
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#50 of 112
Median peer was paid$86K
This provider vs. median1.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 41 | $597.72 | |
| 2023 | 1,865 | $47K | |
| 2024incomplete | 3,325 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 426 | 386 | $20K |
| D0330 | Panoramic radiographic image | 14% | 347 | 294 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 1,545 | 573 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 98 | 59 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 9.4% | 772 | 727 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 534 | 491 | $11K |
| D0274 | Bitewings - four radiographic images | 8.9% | 364 | 340 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 303 | 258 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 281 | 251 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 385 | 346 | $6K |
| D1320 | 2.1% | 77 | 59 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 40 | 40 | $1K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBOWMAN, BENJAMIN (OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.