PURCELL FAMILY DENTAL LLC

NPI: 1790491538 · PURCELL, OK 73080 · General Practice Dentistry · NPI assigned 01/25/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official NELSON, BRAD controls 11+ related entities in our dataset. Read more

$11K

Total Medicaid Paid

452

Total Claims

439

Beneficiaries

Codes Billed

2024-02

First Month

2024-11

Last Month

Provider Details

Authorized Official	NELSON, BRAD (OWNER)
NPI Enumeration Date	01/25/2023

Other providers sharing the same authorized official: NELSON, BRAD

Provider	City	State	Total Paid
DUNCAN DENTAL AND IMPLANTS	DUNCAN	OK	$1.09M
SHAWNEE DENTISTRY AND BRACES	SHAWNEE	OK	$874K
EXCEL DENTISTRY AND BRACES	OKLAHOMA CITY	OK	$319K
BRIXTON FAMILY DENTAL	OKLAHOMA CITY	OK	$71K
NORTH PARK FAMILY DENTAL	EDMOND	OK	$50K
LAWTON DENTAL AND IMPLANTS, LLC	LAWTON	OK	$40K
SOUTHERN POINTE DENTAL AND IMPLANTS LLC	TULSA	OK	$15K
COWETA DENTAL AND IMPLANTS	COWETA	OK	$14K
PERRY SMILES	PERRY	OK	$6K
MUSKOGEE DENTAL AND IMPLANTS LLC	MUSKOGEE	OK	$6K
STILLWATER DENTAL AND IMPLANTS, LLC	STILLWATER	OK	$4K

Year	Claims	Total Paid
2024	452	$11K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16	12	$2K
D0120	Periodic oral evaluation - established patient	83	79	$2K
D0274	Bitewings - four radiographic images	47	47	$1K
D0220	Intraoral - periapical first radiographic image	94	93	$1K
D0150	Comprehensive oral evaluation - new or established patient	47	47	$1K
D1110	Prophylaxis - adult	27	27	$1K
D0230	Intraoral - periapical each additional radiographic image	87	83	$689.89
D1206	Topical application of fluoride varnish	33	33	$605.42
D1120	Prophylaxis - child	18	18	$548.82