NPI: 1730222811 · HEALDTON, OK 73438 · General Practice Dentistry · NPI assigned 02/15/2007
| Authorized Official | BREWER, GARY (OWNER) |
| NPI Enumeration Date | 02/15/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,397 | $44K |
| 2022 | 7,848 | $352K |
| 2023 | 7,102 | $359K |
| 2024 | 5,222 | $210K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | 268 | 266 | $300K | |
| D2392 | 1,072 | 737 | $121K | |
| D1110 | 2,184 | 2,132 | $99K | |
| D0120 | 4,168 | 4,049 | $89K | |
| D1120 | 2,349 | 2,281 | $72K | |
| D1208 | 4,567 | 4,443 | $69K | |
| D9230 | 2,190 | 2,088 | $59K | |
| D0274 | 1,659 | 1,621 | $51K | |
| D3120 | 1,658 | 956 | $50K | |
| D0330 | 569 | 559 | $28K | |
| D0150 | 220 | 220 | $7K | |
| D2391 | 93 | 77 | $6K | |
| D0340 | 72 | 72 | $4K | |
| D0220 | 201 | 198 | $3K | |
| D0470 | 53 | 53 | $2K | |
| D9310 | 39 | 39 | $2K | |
| D7111 | 16 | 12 | $975.68 | |
| D1351 | 36 | 13 | $878.40 | |
| D0272 | 42 | 42 | $768.30 | |
| D0603 | 42 | 42 | $384.30 | |
| D0230 | 46 | 24 | $350.52 | |
| D0602 | 25 | 25 | $228.75 |