ADA DENTISTRY AND BRACES

NPI: 1265052062 · ADA, OK 74820 · Dental Clinic/Center · NPI assigned 04/21/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$53K

Total Medicaid Paid

1,835

Total Claims

1,768

Beneficiaries

Codes Billed

2021-02

First Month

2024-10

Last Month

Provider Details

Authorized Official	BOWMAN, BENJAMIN (OWNER)
NPI Enumeration Date	04/21/2020

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
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
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
MUSTANG NORTH DENTAL	YUKON	OK	$48K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	226	205	$10K
D1206	Topical application of fluoride varnish	507	475	$9K
D0150	Comprehensive oral evaluation - new or established patient	300	300	$9K
D0274	Bitewings - four radiographic images	254	248	$8K
D0330	Panoramic radiographic image	126	126	$6K
D1120	Prophylaxis - child	161	156	$5K
D0120	Periodic oral evaluation - established patient	147	144	$3K
D0140	Limited oral evaluation - problem focused	41	41	$1K
D0220	Intraoral - periapical first radiographic image	61	61	$911.73
D0272	Bitewings - two radiographic images	12	12	$219.60