OKC PROSTH PLLC
NPI: 1700459559
· OKLAHOMA CITY, OK 73170
· Dental Clinic/Center
· NPI assigned 07/20/2021
Provider Details
| Authorized Official | BROWN, SARA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 07/20/2021 |
Related Entities
Other providers sharing the same authorized official: BROWN, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
31 |
$716.72 |
| 2023 |
12 |
$294.62 |
| 2024 |
112 |
$9K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
72 |
14 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
55 |
55 |
$1K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$742.08 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$402.84 |