NPI: 1780001636 · BROKEN ARROW, OK 74012 · Dentist · NPI assigned 03/27/2014
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (OWNER / PRESIDENT) |
| NPI Enumeration Date | 03/27/2014 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,758 | $180K |
| 2022 | 27,767 | $818K |
| 2023 | 31,076 | $1.06M |
| 2024 | 33,061 | $1.15M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3,955 | 1,644 | $500K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2,688 | 1,809 | $418K |
| D0330 | Panoramic radiographic image | 5,745 | 5,514 | $278K |
| D0274 | Bitewings - four radiographic images | 8,970 | 8,751 | $270K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,476 | 1,772 | $265K |
| D1110 | Prophylaxis - adult | 5,828 | 5,648 | $260K |
| D0220 | Intraoral - periapical first radiographic image | 16,576 | 15,723 | $246K |
| D1120 | Prophylaxis - child | 5,270 | 5,140 | $157K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5,175 | 4,980 | $155K |
| D0230 | Intraoral - periapical each additional radiographic image | 19,686 | 14,112 | $149K |
| D0120 | Periodic oral evaluation - established patient | 7,218 | 7,020 | $149K |
| D1206 | Topical application of fluoride varnish | 6,438 | 6,153 | $117K |
| D0140 | Limited oral evaluation - problem focused | 3,353 | 3,195 | $100K |
| D1208 | Topical application of fluoride, excluding varnish | 3,438 | 3,438 | $50K |
| D2394 | 262 | 209 | $46K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 705 | 642 | $19K |
| D3120 | 342 | 184 | $10K | |
| D2332 | 82 | 48 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 65 | 50 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 157 | 86 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 43 | 38 | $1K |
| D0602 | 95 | 95 | $869.25 | |
| D0601 | 76 | 76 | $695.40 | |
| D0272 | Bitewings - two radiographic images | 19 | 14 | $349.36 |