OKLAHOMA DENTAL
NPI: 1467440503
· YUKON, OK 73099
· General Practice Dentistry
· NPI assigned 10/12/2005
Provider Details
| Authorized Official | KENYON, NANCY (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 10/12/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$169.08 |
| 2022 |
42 |
$898.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$428.16 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$366.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$273.55 |