CUSTOM DENTAL OF ATOKA PLLC
NPI: 1730319211
· ATOKA, OK 74525
· General Practice Dentistry
· NPI assigned 07/20/2009
Provider Details
| Authorized Official | HOOKOM, MATHEW (DENTIST) |
| NPI Enumeration Date | 07/20/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
924 |
$27K |
| 2019 |
741 |
$20K |
| 2020 |
659 |
$18K |
| 2021 |
370 |
$9K |
| 2022 |
383 |
$11K |
| 2023 |
207 |
$5K |
| 2024 |
150 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,296 |
1,284 |
$25K |
| D1110 |
Prophylaxis - adult |
548 |
542 |
$23K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
202 |
125 |
$17K |
| D1120 |
Prophylaxis - child |
421 |
421 |
$11K |
| D0274 |
Bitewings - four radiographic images |
360 |
360 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
607 |
607 |
$8K |