NPI: 1417529801 · TULSA, OK 74136 · Dental Clinic/Center · NPI assigned 07/14/2021
| Authorized Official | YATES, MIKE (CFO) |
| NPI Enumeration Date | 07/14/2021 |
Other providers sharing the same authorized official: YATES, MIKE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SUMMER DENTAL SHAWNEE PLLC | SHAWNEE | OK | $2.58M |
| SUMMER DENTAL MACARTHUR PLLC | OKLAHOMA CITY | OK | $784K |
| COTTONWOOD DENTAL KELLOGG, P.A. | WICHITA | KS | $292K |
| BAXTER SPRINGS FAMILY DENTISTRY PA | BAXTER SPRINGS | KS | $237K |
| RIO DENTAL, P.A. | WICHITA | KS | $111K |
| SDPMWC, PLLC | MIDWEST CITY | OK | $13K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 48 | $998.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 48 | 47 | $998.56 |