SPARTAN PLLC

NPI: 1497467773 · BIXBY, OK 74008 · General Practice Dentistry · NPI assigned 12/19/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BRASHER, JOSHUA controls 19+ related entities in our dataset. Read more

$10K

Total Medicaid Paid

414

Total Claims

412

Beneficiaries

Codes Billed

2023-04

First Month

2024-01

Last Month

Provider Details

Authorized Official	BRASHER, JOSHUA (OWNER/PRESIDENT)
NPI Enumeration Date	12/19/2022

Other providers sharing the same authorized official: BRASHER, JOSHUA

Provider	City	State	Total Paid
BLUE RIVER SMILES PLLC	TISHOMINGO	OK	$1.54M
PERKINS DENTAL GROUP	EDMOND	OK	$916K
NEWKC PLLC	NEWKIRK	OK	$671K
NODA PLLC	BLACKWELL	OK	$655K
BETHANY DENTAL GROUP PLLC	BETHANY	OK	$606K
CRESCENT DENTAL GROUP PLLC	CRESCENT	OK	$443K
ELK CITY DENTAL GROUP PLLC	ELK CITY	OK	$289K
WADG PLLC	WATONGA	OK	$256K
NEWCASTLE DENTAL GROUP PLLC	NEWCASTLE	OK	$207K
LITTLE TOOTH CO PLLC	TULSA	OK	$188K
EASY DENTAL DEL CITY PLLC	DEL CITY	OK	$160K
EASY DENTAL SOUTH PLLC	OKLAHOMA CITY	OK	$72K
BDG PLLC	NORMAN	OK	$63K
LFD PLLC	OKLAHOMA CITY	OK	$56K
2J DENTAL EDGE OF NORMAN PLLC	NORMAN	OK	$24K
PFD PLLC	PERRY	OK	$19K
CLINTON DENTAL GROUP PLLC	CLINTON	OK	$19K
PONCA CITY DENTAL GROUP PLLC	PONCA CITY	OK	$3K
EPIC DENTAL PLLC	MIDWEST CITY	OK	$594.07

Year	Claims	Total Paid
2023	402	$9K
2024	12	$219.48

Code	Description	Claims	Beneficiaries	Total Paid
D1206	Topical application of fluoride varnish	155	155	$3K
D0120	Periodic oral evaluation - established patient	131	131	$3K
D1120	Prophylaxis - child	59	59	$2K
D1110	Prophylaxis - adult	38	38	$2K
D0220	Intraoral - periapical first radiographic image	15	15	$223.36
D0230	Intraoral - periapical each additional radiographic image	16	14	$122.69