Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MUSTANG NORTH DENTAL

NPI: 1386246205 · YUKON, OK 73099 · Dental Clinic/Center · NPI assigned 11/16/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$48K
Total Medicaid Paid
1,981
Total Claims
1,661
Beneficiaries
10
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWMAN, BENJAMIN (OWNER)
NPI Enumeration Date11/16/2020

Related Entities

Other providers sharing the same authorized official: BOWMAN, BENJAMIN

ProviderCityStateTotal 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
ADA DENTISTRY AND BRACES ADA OK $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 231 $5K
2023 711 $20K
2024 1,039 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 75 25 $9K
D0220 Intraoral - periapical first radiographic image 516 473 $8K
D1110 Prophylaxis - adult 134 116 $6K
D1206 Topical application of fluoride varnish 335 292 $6K
D0274 Bitewings - four radiographic images 147 117 $5K
D0150 Comprehensive oral evaluation - new or established patient 125 99 $4K
D0330 Panoramic radiographic image 77 67 $4K
D0230 Intraoral - periapical each additional radiographic image 477 392 $4K
D0120 Periodic oral evaluation - established patient 59 52 $1K
D1120 Prophylaxis - child 36 28 $1K