NPI: 1689252512 · LAWTON, OK 73505 · Dental Clinic/Center · NPI assigned 03/31/2021
Authorized official NELSON, BRAD controls 11+ related entities in our dataset. Read more
| Authorized Official | NELSON, BRAD (OWNER) |
| NPI Enumeration Date | 03/31/2021 |
Other providers sharing the same authorized official: NELSON, BRAD
| Provider | City | State | Total Paid |
|---|---|---|---|
| DUNCAN DENTAL AND IMPLANTS | DUNCAN | OK | $1.09M |
| SHAWNEE DENTISTRY AND BRACES | SHAWNEE | OK | $874K |
| EXCEL DENTISTRY AND BRACES | OKLAHOMA CITY | OK | $319K |
| BRIXTON FAMILY DENTAL | OKLAHOMA CITY | OK | $71K |
| NORTH PARK FAMILY DENTAL | EDMOND | OK | $50K |
| SOUTHERN POINTE DENTAL AND IMPLANTS LLC | TULSA | OK | $15K |
| COWETA DENTAL AND IMPLANTS | COWETA | OK | $14K |
| PURCELL FAMILY DENTAL LLC | PURCELL | OK | $11K |
| PERRY SMILES | PERRY | OK | $6K |
| MUSKOGEE DENTAL AND IMPLANTS LLC | MUSKOGEE | OK | $6K |
| STILLWATER DENTAL AND IMPLANTS, LLC | STILLWATER | OK | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 225 | $7K |
| 2024 | 502 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 129 | 44 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 75 | 75 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 153 | 153 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25 | 12 | $3K |
| D0140 | Limited oral evaluation - problem focused | 69 | 66 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 32 | 13 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 120 | 117 | $2K |
| D0330 | Panoramic radiographic image | 28 | 28 | $1K |
| D1320 | 29 | 29 | $1K | |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $396.68 |
| D0230 | Intraoral - periapical each additional radiographic image | 42 | 19 | $350.07 |
| D1206 | Topical application of fluoride varnish | 12 | 12 | $226.88 |