NPI: 1780340513 · TAHLEQUAH, OK 74464 · Dental Clinic/Center · NPI assigned 11/16/2021
Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, MARK (SENIOR MANAGER) |
| NPI Enumeration Date | 11/16/2021 |
Other providers sharing the same authorized official: SMITH, MARK
| Provider | City | State | Total Paid |
|---|---|---|---|
| HUNTINGTON CARE, LLC | ROSEVILLE | CA | $7.66M |
| HENRY FORD HEALTH SYSTEM | DETROIT | MI | $5.17M |
| HENRY FORD HEALTH SYSTEM | DETROIT | MI | $3.37M |
| W. A. FOOTE MEMORIAL HOSPITAL, INC | JACKSON | MI | $2.83M |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $2.38M |
| HAND IN HAND | BETTENDORF | IA | $1.53M |
| DRS. MARK & STEVEN SMITH | GREENEVILLE | TN | $1.17M |
| HENRY FORD WYANDOTTE HOSPITAL | ALLEN PARK | MI | $803K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $645K |
| WA FOOTE MEMORIAL HOSPITAL, INC | JACKSON | MI | $600K |
| HENRY FORD WYANDOTTE HOSPITAL | BROWNSTOWN TWP | MI | $322K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $311K |
| HENRY FORD WYANDOTTE HOSPITAL | TRENTON | MI | $294K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $278K |
| T H SMITH OD AND THOMAS K SMITH OD PC | MC KENZIE | TN | $263K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $237K |
| MARK A. SMITH MD INC. | AKRON | OH | $124K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $112K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $104K |
| HENRY FORD WYANDOTTE HOSPITAL | WYANDOTTE | MI | $83K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,071 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 143 | 86 | $12K |
| D0120 | Periodic oral evaluation - established patient | 501 | 501 | $10K |
| D1110 | Prophylaxis - adult | 225 | 225 | $10K |
| D1120 | Prophylaxis - child | 252 | 252 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 484 | 484 | $7K |
| D0274 | Bitewings - four radiographic images | 121 | 121 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 56 | 39 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 81 | 75 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 104 | 104 | $2K |
| D0272 | Bitewings - two radiographic images | 50 | 50 | $915.00 |
| D0330 | Panoramic radiographic image | 12 | 12 | $585.24 |
| D0230 | Intraoral - periapical each additional radiographic image | 42 | 31 | $320.04 |