FRANK J EVANS, DDS, PLLC
NPI: 1457878019
· FORT GIBSON, OK 74434
· Dentist
· NPI assigned 08/24/2017
$879.96
Total Medicaid Paid
Provider Details
| Authorized Official | EVANS, FRANK (OWNER) |
| NPI Enumeration Date | 08/24/2017 |
Related Entities
Other providers sharing the same authorized official: EVANS, FRANK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
41 |
$879.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$408.69 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$257.91 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$213.36 |