NPI: 1407412992 · TULSA, OK 74132 · Dental Clinic/Center · NPI assigned 05/10/2019
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (OWNER / PRESIDENT) |
| NPI Enumeration Date | 05/10/2019 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,510 | $154K |
| 2022 | 27,744 | $1.03M |
| 2023 | 36,110 | $1.83M |
| 2024 | 30,900 | $1.26M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9,795 | 2,803 | $1.22M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2,753 | 1,596 | $445K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,939 | 1,893 | $337K |
| D0330 | Panoramic radiographic image | 5,200 | 5,007 | $252K |
| D0274 | Bitewings - four radiographic images | 7,265 | 7,088 | $220K |
| D0220 | Intraoral - periapical first radiographic image | 14,853 | 13,994 | $219K |
| D5214 | 221 | 221 | $212K | |
| D1110 | Prophylaxis - adult | 4,183 | 4,034 | $186K |
| D0230 | Intraoral - periapical each additional radiographic image | 21,867 | 12,550 | $166K |
| D0120 | Periodic oral evaluation - established patient | 6,672 | 6,453 | $138K |
| D1120 | Prophylaxis - child | 4,479 | 4,343 | $134K |
| D5213 | 140 | 140 | $133K | |
| D0140 | Limited oral evaluation - problem focused | 4,057 | 3,854 | $122K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,999 | 3,881 | $121K |
| D1206 | Topical application of fluoride varnish | 5,167 | 4,885 | $94K |
| D2335 | 389 | 167 | $49K | |
| D1208 | Topical application of fluoride, excluding varnish | 2,442 | 2,442 | $36K |
| D2394 | 177 | 112 | $32K | |
| D7240 | Removal of impacted tooth - completely bony | 113 | 41 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 726 | 608 | $20K |
| D2332 | 175 | 105 | $18K | |
| D3221 | 109 | 62 | $13K | |
| D7140 | Extraction, erupted tooth or exposed root | 182 | 71 | $13K |
| D7310 | 88 | 39 | $12K | |
| D4341 | 69 | 39 | $11K | |
| D5130 | 13 | 13 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 163 | 117 | $10K |
| D3120 | 204 | 56 | $6K | |
| D0601 | 446 | 446 | $4K | |
| D5422 | 85 | 77 | $3K | |
| D5410 | 71 | 55 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | 45 | 45 | $1K |
| D5421 | 32 | 30 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | 55 | 24 | $1K |
| D0602 | 90 | 90 | $815.35 |