BRYAN E BONNET DDS PC INC
NPI: 1356067474
· GLENPOOL, OK 74033
· Dental Clinic/Center
· NPI assigned 10/19/2022
Provider Details
| Authorized Official | BONNET, BRYAN (OWNER/DENTIST) |
| NPI Enumeration Date | 10/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
161 |
$3K |
| 2023 |
1,776 |
$39K |
| 2024 |
989 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
328 |
312 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
709 |
678 |
$15K |
| D1206 |
Topical application of fluoride varnish |
590 |
571 |
$11K |
| D1120 |
Prophylaxis - child |
296 |
282 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
536 |
489 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
379 |
349 |
$3K |
| D0274 |
Bitewings - four radiographic images |
59 |
59 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$635.07 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$292.64 |