PERRY SMILES

NPI: 1831796580 · PERRY, OK 73077 · Dental Clinic/Center · NPI assigned 10/06/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$6K

Total Medicaid Paid

255

Total Claims

255

Beneficiaries

Codes Billed

2022-08

First Month

2024-10

Last Month

Provider Details

Authorized Official	NELSON, BRAD (OWNER)
NPI Enumeration Date	10/06/2020

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
PURCELL FAMILY DENTAL LLC	PURCELL	OK	$11K
MUSKOGEE DENTAL AND IMPLANTS LLC	MUSKOGEE	OK	$6K
STILLWATER DENTAL AND IMPLANTS, LLC	STILLWATER	OK	$4K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	44	44	$1K
D0120	Periodic oral evaluation - established patient	52	52	$1K
D1208	Topical application of fluoride, excluding varnish	66	66	$1K
D1120	Prophylaxis - child	24	24	$731.88
D0330	Panoramic radiographic image	16	16	$727.55
D1110	Prophylaxis - adult	13	13	$622.27
D0274	Bitewings - four radiographic images	14	14	$442.26
D0220	Intraoral - periapical first radiographic image	26	26	$401.80