NPI: 1730679606 · SULPHUR, OK 73086 · Dental Clinic/Center · NPI assigned 05/15/2018
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (OWNER) |
| NPI Enumeration Date | 05/15/2018 |
Other providers sharing the same authorized official: BOWMAN, BENJAMIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EL RENO DENTAL | EL RENO | OK | $649K |
| WOODLAND DENTISTRY AND BRACES | TULSA | OK | $552K |
| DENTAL LODGE OF PURCELL | PURCELL | OK | $465K |
| HARRAH DENTISTRY & BRACES | HARRAH | OK | $397K |
| KINGFISHER DENTAL PLLC | KINGFISHER | OK | $392K |
| CAPITOL HILL DENTISTRY & BRACES PLLC | OKLAHOMA CITY | OK | $295K |
| WEATHERFORD DENTISTRY & BRACES | WEATHERFORD | OK | $278K |
| DENTAL SURGERY CENTER OF MIDWEST CITY | OKLAHOMA CITY | OK | $249K |
| CHOCTAW DENTAL PLLC | CHOCTAW | OK | $214K |
| CLEVELAND DENTISTRY AND BRACES | CLEVELAND | OK | $210K |
| MUSTANG DENTISTRY & BRACES | MUSTANG | OK | $184K |
| SAPULPA DENTISTRY AND BRACES | SAPULPA | OK | $136K |
| SHATTUCK DENTISTRY & BRACES | SHATTUCK | OK | $128K |
| I240 DENTAL, PLLC | OKLAHOMA CITY | OK | $125K |
| YUKON DENTISTRY & BRACES | YUKON | OK | $117K |
| SAND SPRINGS DENTISTRY AND BRACES | SAND SPRINGS | OK | $72K |
| MIDWEST CITY FAMILY DENTISTRY | OKLAHOMA CITY | OK | $60K |
| RICHFIELD FAMILY DENTAL | RICHFIELD | UT | $60K |
| ADA DENTISTRY AND BRACES | ADA | OK | $53K |
| MUSTANG NORTH DENTAL | YUKON | OK | $48K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 37 | $548.64 |
| 2020 | 388 | $7K |
| 2021 | 640 | $14K |
| 2022 | 355 | $8K |
| 2023 | 604 | $14K |
| 2024 | 4,744 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 534 | 521 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 758 | 734 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,294 | 842 | $20K |
| D0274 | Bitewings - four radiographic images | 620 | 602 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1,083 | 1,061 | $17K |
| D1110 | Prophylaxis - adult | 311 | 306 | $14K |
| D1120 | Prophylaxis - child | 271 | 260 | $8K |
| D1206 | Topical application of fluoride varnish | 440 | 423 | $8K |
| D0120 | Periodic oral evaluation - established patient | 148 | 148 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23 | 14 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16 | 13 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 19 | 12 | $2K |
| D1320 | 50 | 44 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 60 | 60 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 102 | 102 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $866.66 |
| D0350 | 12 | 12 | $335.50 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 13 | 13 | $329.28 |