NPI: 1245299825 · TAHLEQUAH, OK 74464 · General Practice Dentistry · NPI assigned 03/21/2006
| Authorized Official | JONES, ROBERT (DENTIST) |
| NPI Enumeration Date | 03/21/2006 |
Other providers sharing the same authorized official: JONES, ROBERT
| Provider | City | State | Total Paid |
|---|---|---|---|
| GEORGIA PINES COMMUNITY SERVICE BOARD | THOMASVILLE | GA | $45.34M |
| CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | LONG BEACH | CA | $3.36M |
| SOUTHWEST INTEGRATIVE HEALTH CENTER, LLC | ALBUQUERQUE | NM | $1.35M |
| BARBOUR COUNTY EMERGENCY SQUAD INC. | PHILIPPI | WV | $1.16M |
| COLORADO RIVER FIRE RESCUE | RIFLE | CO | $358K |
| LONGVIEW ORTHOPAEDIC CENTER, LLC | LEOMINSTER | MA | $269K |
| ROBERT H JONES DDS PC | MCMINNVILLE | TN | $39K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 598 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 155 | 155 | $3K |
| D1120 | Prophylaxis - child | 94 | 94 | $3K |
| D1110 | Prophylaxis - adult | 60 | 60 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 167 | 167 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21 | 13 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15 | 12 | $914.70 |
| D0220 | Intraoral - periapical first radiographic image | 41 | 41 | $624.84 |
| D0272 | Bitewings - two radiographic images | 31 | 31 | $530.70 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 14 | 13 | $384.16 |