NPI: 1447848320 · VINITA, OK 74301 · Dental Clinic/Center · NPI assigned 01/06/2021
Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
| Authorized Official | CARDON, CREED (OWNER) |
| NPI Enumeration Date | 01/06/2021 |
Other providers sharing the same authorized official: CARDON, CREED
| Provider | City | State | Total Paid |
|---|---|---|---|
| MCO PEDS PLLC | JENKS | OK | $2.51M |
| OKLAHOMA CITY DENTAL SW, PLLC | OKLAHOMA CITY | OK | $1.24M |
| SUMMER DENTAL STILLWATER, PLLC | STILLWATER | OK | $1.22M |
| SAPULPA KIDS DENTAL PLLC | SAPULPA | OK | $1.12M |
| SPRING ORTHODONTICS TULSA | TULSA | OK | $1.03M |
| SPRING DENTAL COLLINSVILLE, PLLC | COLLINSVILLE | OK | $1.01M |
| OKC 89TH DENTAL, PLLC | OKLAHOMA CITY | OK | $962K |
| TULSA KIDS DENTAL PLLC | TULSA | OK | $857K |
| WITCHITA 21ST DENTAL, PA | WICHITA | KS | $802K |
| SUMMER DENTAL MIDWEST CITY, PLLC | MIDWEST CITY | OK | $454K |
| RIVER DENTAL SILOAM SPRINGS, PLLC | SILOAM SPRINGS | AR | $267K |
| ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC | TULSA | OK | $194K |
| COTTONWOOD DENTAL MAIZE, PA | WICHITA | KS | $186K |
| REDBUD DENTAL EDMOND, PLLC | EDMOND | OK | $157K |
| DENTAL CARE OF WICHITA PA | WICHITA | KS | $73K |
| RIVER DENTAL ROGERS SOUTH, PLLC | ROGERS | AR | $66K |
| RIVER DENTAL ROGERS, PLLC | ROGERS | AR | $61K |
| MARION FAMILY SMILES, P.A. | MARION | KS | $56K |
| OWASSO PEDIATRIC DENTISTRY, PLLC | OWASSO | OK | $45K |
| WILLOW DENTAL BELLEVUE, LLC | BELLEVUE | NE | $23K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,839 | $39K |
| 2022 | 4,051 | $111K |
| 2023 | 3,753 | $125K |
| 2024 | 2,894 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 526 | 338 | $58K |
| D1110 | Prophylaxis - adult | 958 | 949 | $40K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 210 | 152 | $33K |
| D0120 | Periodic oral evaluation - established patient | 1,551 | 1,533 | $30K |
| D1206 | Topical application of fluoride varnish | 1,860 | 1,838 | $30K |
| D1120 | Prophylaxis - child | 948 | 935 | $27K |
| D0330 | Panoramic radiographic image | 528 | 524 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 1,648 | 1,616 | $24K |
| D0274 | Bitewings - four radiographic images | 729 | 727 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,254 | 1,200 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 468 | 459 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 99 | 14 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 169 | 49 | $10K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 39 | 39 | $8K |
| D0140 | Limited oral evaluation - problem focused | 252 | 251 | $7K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 51 | 14 | $6K |
| D9222 | 39 | 39 | $3K | |
| D0272 | Bitewings - two radiographic images | 140 | 140 | $2K |
| D9610 | 39 | 39 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 29 | 25 | $795.76 |