NPI: 1699791145 · BROKEN ARROW, OK 74012 · Dentist · NPI assigned 07/15/2006
Authorized official WOOSTER, HALEY controls 20+ related entities in our dataset. Read more
| Authorized Official | WOOSTER, HALEY (ENROLLMENT SPECIALIST) |
| NPI Enumeration Date | 07/15/2006 |
Other providers sharing the same authorized official: WOOSTER, HALEY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 459 | $16K |
| 2019 | 224 | $8K |
| 2021 | 2,562 | $704K |
| 2022 | 437 | $61K |
| 2023 | 188 | $24K |
| 2024 | 15 | $746.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D5110 | 343 | 343 | $250K | |
| D5120 | 213 | 213 | $159K | |
| D7140 | Extraction, erupted tooth or exposed root | 1,872 | 281 | $124K |
| D5140 | 132 | 132 | $110K | |
| D5130 | 132 | 132 | $108K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 306 | 91 | $35K |
| D0140 | Limited oral evaluation - problem focused | 714 | 712 | $20K |
| D0330 | Panoramic radiographic image | 103 | 103 | $5K |
| D1320 | 25 | 25 | $838.50 | |
| D1110 | Prophylaxis - adult | 15 | 12 | $746.04 |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $243.97 |
| D0220 | Intraoral - periapical first radiographic image | 16 | 16 | $234.21 |