BROKEN BOW DENTISTRY PLLC
NPI: 1811658685
· BROKEN BOW, OK 74728
· Dental Clinic/Center
$734K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
7,698 |
$258K |
| 2023 |
7,104 |
$236K |
| 2024 |
7,605 |
$240K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,561 |
1,072 |
$172K |
| D2393 |
|
816 |
612 |
$120K |
| D0120 |
|
2,931 |
2,858 |
$62K |
| D1110 |
|
1,363 |
1,331 |
$62K |
| D1120 |
|
2,000 |
1,950 |
$61K |
| D0220 |
|
3,029 |
2,844 |
$46K |
| D1206 |
|
2,212 |
2,130 |
$40K |
| D0330 |
|
778 |
757 |
$38K |
| D0274 |
|
1,077 |
1,051 |
$33K |
| D0230 |
|
2,554 |
2,106 |
$19K |
| D1208 |
|
1,165 |
1,165 |
$18K |
| D2391 |
|
270 |
220 |
$16K |
| D0272 |
|
743 |
724 |
$13K |
| D0150 |
|
411 |
399 |
$13K |
| D0140 |
|
274 |
274 |
$8K |
| D0603 |
|
604 |
553 |
$6K |
| D0602 |
|
427 |
415 |
$4K |
| D0240 |
|
103 |
63 |
$2K |
| D3120 |
|
38 |
25 |
$1K |
| D0145 |
|
26 |
26 |
$793.00 |
| D0601 |
|
25 |
25 |
$228.75 |