SCOTT FAMILY DENTISTRY, INC. PC
NPI: 1801909221
· MARLOW, OK 73055
· General Practice Dentistry
· NPI assigned 08/17/2006
$159K
Total Medicaid Paid
Provider Details
| Authorized Official | SCOTT, BRUCE (SOLE PROPRIETOR) |
| NPI Enumeration Date | 08/17/2006 |
Related Entities
Other providers sharing the same authorized official: SCOTT, BRUCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,534 |
$33K |
| 2019 |
1,310 |
$30K |
| 2020 |
1,182 |
$28K |
| 2021 |
1,183 |
$26K |
| 2022 |
976 |
$21K |
| 2023 |
953 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,001 |
1,001 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,911 |
1,911 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,206 |
2,206 |
$32K |
| D1120 |
Prophylaxis - child |
953 |
953 |
$27K |
| D0272 |
Bitewings - two radiographic images |
991 |
991 |
$17K |
| D1351 |
Sealant - per tooth |
32 |
12 |
$721.92 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
20 |
17 |
$507.40 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$364.96 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$319.55 |