BOARD OF REGENTS OF OK - COL OF DENTISTRY GRAD PERODONTICS
NPI: 1609142827
· OKLAHOMA CITY, OK 73117
· Periodontist
· NPI assigned 04/02/2012
$232.68
Total Medicaid Paid
Provider Details
| Authorized Official | ASCH, LISA (ASSOCIATE DIRECTOR RESARCH ADMIN) |
| NPI Enumeration Date | 04/02/2012 |
Related Entities
Other providers sharing the same authorized official: ASCH, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
28 |
$232.68 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$232.68 |
| D1999 |
|
16 |
16 |
$0.00 |