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RESTORE DENTURES AND DENTAL IMPLANTS PLLC
RESTORE DENTURES AND DENTAL IMPLANTS PLLC
NPI: 1629641600
· TULSA, OK 74132
· Dental Clinic/Center
· NPI assigned 07/19/2021
$1.30M
Total Medicaid Paid
Provider Details
| Authorized Official | COLEMAN, HEATH (OWNER/DOCTOR) |
| NPI Enumeration Date | 07/19/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
593 |
$69K |
| 2022 |
6,251 |
$741K |
| 2023 |
3,825 |
$472K |
| 2024 |
365 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
7,058 |
702 |
$489K |
| D5130 |
|
304 |
304 |
$262K |
| D5140 |
|
231 |
231 |
$197K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,119 |
209 |
$145K |
| D5110 |
|
124 |
124 |
$98K |
| D0330 |
Panoramic radiographic image |
766 |
766 |
$38K |
| D5120 |
|
35 |
35 |
$28K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
804 |
804 |
$26K |
| D1320 |
|
553 |
553 |
$16K |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$415.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$386.00 |