NPI: 1609474758 · SAND SPRINGS, OK 74063 · Dental Clinic/Center · NPI assigned 10/12/2020
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (OWNER) |
| NPI Enumeration Date | 10/12/2020 |
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 |
| DENTAL SURGERY CENTER OF MIDWEST CITY | OKLAHOMA CITY | OK | $249K |
| 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 |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 275 | $5K |
| 2022 | 723 | $13K |
| 2023 | 927 | $39K |
| 2024 | 432 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 99 | 46 | $12K |
| D0330 | Panoramic radiographic image | 241 | 229 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 339 | 308 | $10K |
| D1110 | Prophylaxis - adult | 177 | 161 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 49 | 26 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 304 | 300 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 590 | 219 | $4K |
| D0120 | Periodic oral evaluation - established patient | 203 | 188 | $4K |
| D1120 | Prophylaxis - child | 112 | 95 | $3K |
| D0274 | Bitewings - four radiographic images | 84 | 84 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 133 | 102 | $2K |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $439.50 |
| D1206 | Topical application of fluoride varnish | 12 | 12 | $219.48 |