NPI: 1548901150 · OKLAHOMA CITY, OK 73132 · Pediatric Dentist · NPI assigned 04/06/2022
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF PROVIDER RELATIONS) |
| NPI Enumeration Date | 04/06/2022 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,178 | $24K |
| 2024 | 372 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 132 | 26 | $12K |
| D9310 | 133 | 128 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | 46 | 14 | $3K |
| D0140 | Limited oral evaluation - problem focused | 99 | 98 | $3K |
| D0120 | Periodic oral evaluation - established patient | 391 | 387 | $3K |
| D1120 | Prophylaxis - child | 233 | 232 | $2K |
| D1206 | Topical application of fluoride varnish | 372 | 372 | $2K |
| D0272 | Bitewings - two radiographic images | 144 | 144 | $1K |