NPI: 1376118307 · TULSA, OK 74133 · Dental Clinic/Center · NPI assigned 05/21/2021
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (OWNER) |
| NPI Enumeration Date | 05/21/2021 |
Other providers sharing the same authorized official: BOWMAN, BENJAMIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EL RENO DENTAL | EL RENO | OK | $649K |
| 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 |
| ADA DENTISTRY AND BRACES | ADA | OK | $53K |
| MUSTANG NORTH DENTAL | YUKON | OK | $48K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 630 | $26K |
| 2023 | 5,494 | $285K |
| 2024 | 5,997 | $242K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,274 | 565 | $157K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 519 | 228 | $89K |
| D0330 | Panoramic radiographic image | 826 | 795 | $42K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 272 | 105 | $35K |
| D1110 | Prophylaxis - adult | 633 | 587 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 958 | 899 | $29K |
| D1120 | Prophylaxis - child | 827 | 755 | $25K |
| D0274 | Bitewings - four radiographic images | 783 | 754 | $25K |
| D1206 | Topical application of fluoride varnish | 936 | 843 | $17K |
| D0120 | Periodic oral evaluation - established patient | 764 | 689 | $16K |
| D0140 | Limited oral evaluation - problem focused | 505 | 483 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 964 | 930 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,824 | 696 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 430 | 363 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 139 | 28 | $10K |
| D4341 | 33 | 12 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 81 | 51 | $5K |
| D0272 | Bitewings - two radiographic images | 160 | 136 | $3K |
| D7111 | 42 | 26 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 94 | 83 | $1K |
| D1320 | 32 | 32 | $1K | |
| D9610 | 25 | 25 | $731.76 |