NPI: 1831473743 · OKLAHOMA CITY, OK 73120 · General Practice Dentistry · NPI assigned 10/11/2011
Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | KELLY, MARK (OWNER) |
| NPI Enumeration Date | 10/11/2011 |
Other providers sharing the same authorized official: KELLY, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,298 | $75K |
| 2019 | 1,214 | $22K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 249 | 123 | $21K |
| D1120 | Prophylaxis - child | 400 | 400 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 637 | 628 | $9K |
| D0120 | Periodic oral evaluation - established patient | 456 | 456 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,237 | 504 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 601 | 601 | $8K |
| D1110 | Prophylaxis - adult | 162 | 162 | $7K |
| D1320 | 167 | 167 | $5K | |
| D0274 | Bitewings - four radiographic images | 180 | 180 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 150 | 142 | $4K |
| D0350 | 83 | 82 | $2K | |
| D9248 | 12 | 12 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 47 | 44 | $1K |
| D1351 | Sealant - per tooth | 51 | 14 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 38 | 38 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18 | 13 | $1K |
| D0240 | 24 | 15 | $406.08 |