NPI: 1447467410 · BROKEN ARROW, OK 74012 · Pediatric Dentist · NPI assigned 05/17/2007
| Authorized Official | STARKEY, JOHNNY (PRESIDENT) |
| NPI Enumeration Date | 05/17/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 851 | $19K |
| 2022 | 3,551 | $87K |
| 2023 | 3,328 | $80K |
| 2024 | 1,859 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 2,058 | 1,963 | $60K |
| D0120 | Periodic oral evaluation - established patient | 2,928 | 2,804 | $59K |
| D1110 | Prophylaxis - adult | 912 | 881 | $39K |
| D1206 | Topical application of fluoride varnish | 1,924 | 1,853 | $32K |
| D0272 | Bitewings - two radiographic images | 1,152 | 1,101 | $20K |
| D0330 | Panoramic radiographic image | 358 | 358 | $16K |
| D1351 | Sealant - per tooth | 117 | 24 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 60 | 60 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 68 | 68 | $899.16 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $335.50 |