DENTAL SURGERY CENTER OF MIDWEST CITY

NPI: 1578103743 · OKLAHOMA CITY, OK 73170 · Dental Clinic/Center · NPI assigned 01/15/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more

$249K

Total Medicaid Paid

1,604

Total Claims

782

Beneficiaries

Codes Billed

2022-06

First Month

2024-12

Last Month

Provider Details

Authorized Official	BOWMAN, BENJAMIN (OWNER)
NPI Enumeration Date	01/15/2020

Other providers sharing the same authorized official: BOWMAN, BENJAMIN

Provider	City	State	Total Paid
EL RENO DENTAL	EL RENO	OK	$649K
WOODLAND DENTISTRY AND BRACES	TULSA	OK	$552K
DENTAL LODGE OF PURCELL	PURCELL	OK	$465K
HARRAH DENTISTRY & BRACES	HARRAH	OK	$397K
KINGFISHER DENTAL PLLC	KINGFISHER	OK	$392K
CAPITOL HILL DENTISTRY & BRACES PLLC	OKLAHOMA CITY	OK	$295K
WEATHERFORD DENTISTRY & BRACES	WEATHERFORD	OK	$278K
CHOCTAW DENTAL PLLC	CHOCTAW	OK	$214K
CLEVELAND DENTISTRY AND BRACES	CLEVELAND	OK	$210K
MUSTANG DENTISTRY & BRACES	MUSTANG	OK	$184K
SULPHUR DENTISTRY & BRACES	SULPHUR	OK	$152K
SAPULPA DENTISTRY AND BRACES	SAPULPA	OK	$136K
SHATTUCK DENTISTRY & BRACES	SHATTUCK	OK	$128K
I240 DENTAL, PLLC	OKLAHOMA CITY	OK	$125K
YUKON DENTISTRY & BRACES	YUKON	OK	$117K
SAND SPRINGS DENTISTRY AND BRACES	SAND SPRINGS	OK	$72K
MIDWEST CITY FAMILY DENTISTRY	OKLAHOMA CITY	OK	$60K
RICHFIELD FAMILY DENTAL	RICHFIELD	UT	$60K
ADA DENTISTRY AND BRACES	ADA	OK	$53K
MUSTANG NORTH DENTAL	YUKON	OK	$48K

Code	Description	Claims	Beneficiaries	Total Paid
D7240	Removal of impacted tooth - completely bony	974	284	$210K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	131	25	$14K
D9248		93	93	$12K
D0140	Limited oral evaluation - problem focused	393	367	$12K
D0330	Panoramic radiographic image	13	13	$524.17