NPI: 1679142616 · CLEVELAND, OK 74020 · Dental Clinic/Center · NPI assigned 06/23/2021
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (OWNER) |
| NPI Enumeration Date | 06/23/2021 |
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 |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 380 | $7K |
| 2022 | 2,460 | $59K |
| 2023 | 3,993 | $87K |
| 2024 | 2,731 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 626 | 616 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,309 | 1,151 | $25K |
| D0330 | Panoramic radiographic image | 525 | 517 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 1,450 | 1,392 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 556 | 544 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 139 | 85 | $16K |
| D0274 | Bitewings - four radiographic images | 515 | 510 | $15K |
| D1320 | 410 | 400 | $14K | |
| D1120 | Prophylaxis - child | 442 | 430 | $13K |
| D0120 | Periodic oral evaluation - established patient | 629 | 616 | $13K |
| D0140 | Limited oral evaluation - problem focused | 320 | 304 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 430 | 420 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 69 | 42 | $4K |
| D0350 | 105 | 105 | $3K | |
| D1206 | Topical application of fluoride varnish | 39 | 39 | $697.08 |