Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MIDWEST CITY FAMILY DENTISTRY

NPI: 1811479975 · OKLAHOMA CITY, OK 73130 · Dental Clinic/Center · NPI assigned 09/05/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more

$60K
Total Medicaid Paid
3,230
Total Claims
2,440
Beneficiaries
11
Codes Billed
2021-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBOWMAN, BENJAMIN (MANAGER)
NPI Enumeration Date09/05/2018

Related Entities

Other providers sharing the same authorized official: BOWMAN, BENJAMIN

ProviderCityStateTotal 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
SULPHUR DENTISTRY & BRACES SULPHUR OK $152K
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
RICHFIELD FAMILY DENTAL RICHFIELD UT $60K
ADA DENTISTRY AND BRACES ADA OK $53K
MUSTANG NORTH DENTAL YUKON OK $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 158 $4K
2022 511 $9K
2023 1,032 $22K
2024 1,529 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 252 246 $13K
D0230 Intraoral - periapical each additional radiographic image 1,311 557 $11K
D0220 Intraoral - periapical first radiographic image 715 695 $11K
D0274 Bitewings - four radiographic images 212 209 $7K
D0150 Comprehensive oral evaluation - new or established patient 207 204 $6K
D1206 Topical application of fluoride varnish 238 238 $4K
D1110 Prophylaxis - adult 87 87 $4K
D0120 Periodic oral evaluation - established patient 113 113 $2K
D0140 Limited oral evaluation - problem focused 67 63 $2K
D1120 Prophylaxis - child 12 12 $335.39
D1208 Topical application of fluoride, excluding varnish 16 16 $213.36