NPI: 1346762564 · MUSTANG, OK 73064 · Dental Clinic/Center · NPI assigned 07/10/2017
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (MANAGER) |
| NPI Enumeration Date | 07/10/2017 |
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 |
| 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 |
| ADA DENTISTRY AND BRACES | ADA | OK | $53K |
| MUSTANG NORTH DENTAL | YUKON | OK | $48K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 156 | $6K |
| 2022 | 1,141 | $26K |
| 2023 | 1,992 | $56K |
| 2024 | 3,171 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 426 | 199 | $48K |
| D1110 | Prophylaxis - adult | 470 | 432 | $22K |
| D0274 | Bitewings - four radiographic images | 652 | 613 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1,286 | 1,207 | $20K |
| D0330 | Panoramic radiographic image | 350 | 323 | $17K |
| D0120 | Periodic oral evaluation - established patient | 720 | 670 | $15K |
| D1120 | Prophylaxis - child | 343 | 314 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 336 | 301 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,214 | 1,070 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 351 | 335 | $5K |
| D1206 | Topical application of fluoride varnish | 254 | 237 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 30 | 12 | $2K |
| D0140 | Limited oral evaluation - problem focused | 28 | 27 | $831.87 |