NPI: 1548779135 · TULSA, OK 74135 · Dentist · NPI assigned 09/26/2017
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (PRESIDENT / OWNER) |
| NPI Enumeration Date | 09/26/2017 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,548 | $203K |
| 2022 | 31,196 | $1.20M |
| 2023 | 31,354 | $1.46M |
| 2024 | 29,784 | $1.28M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8,049 | 2,589 | $1.01M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3,191 | 1,951 | $510K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,037 | 1,793 | $348K |
| D0330 | Panoramic radiographic image | 5,143 | 4,925 | $251K |
| D0274 | Bitewings - four radiographic images | 7,453 | 7,274 | $225K |
| D0220 | Intraoral - periapical first radiographic image | 15,091 | 14,296 | $225K |
| D1110 | Prophylaxis - adult | 4,027 | 3,902 | $179K |
| D0230 | Intraoral - periapical each additional radiographic image | 22,238 | 12,937 | $169K |
| D5214 | 169 | 169 | $163K | |
| D0120 | Periodic oral evaluation - established patient | 7,352 | 7,136 | $152K |
| D1120 | Prophylaxis - child | 4,475 | 4,344 | $134K |
| D0140 | Limited oral evaluation - problem focused | 4,004 | 3,916 | $119K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,446 | 3,280 | $105K |
| D2394 | 585 | 452 | $102K | |
| D5213 | 102 | 102 | $100K | |
| D1206 | Topical application of fluoride varnish | 4,618 | 4,364 | $84K |
| D2335 | 389 | 195 | $49K | |
| D1208 | Topical application of fluoride, excluding varnish | 2,968 | 2,968 | $44K |
| D7310 | 254 | 149 | $34K | |
| D2332 | 293 | 191 | $31K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 988 | 868 | $27K |
| D5130 | 24 | 24 | $19K | |
| D4341 | 63 | 42 | $9K | |
| D5110 | 12 | 12 | $9K | |
| D5422 | 215 | 193 | $8K | |
| D5410 | 141 | 109 | $6K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 56 | 31 | $5K |
| D3221 | 38 | 25 | $5K | |
| D5421 | 85 | 81 | $3K | |
| D0350 | 91 | 85 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | 70 | 66 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 33 | 26 | $2K |
| D4342 | 24 | 13 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | 17 | 13 | $1K |
| D3120 | 31 | 26 | $945.19 | |
| D5411 | 13 | 12 | $519.64 | |
| D0601 | 51 | 51 | $466.65 | |
| D0210 | Intraoral - complete series of radiographic images | 30 | 12 | $422.23 |
| D0602 | 16 | 16 | $146.40 |