NPI: 1861058877 · OKLAHOMA CITY, OK 73116 · Dental Clinic/Center · NPI assigned 05/15/2019
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (OWNER / PRESIDENT) |
| NPI Enumeration Date | 05/15/2019 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,496 | $225K |
| 2022 | 28,395 | $989K |
| 2023 | 27,479 | $1.10M |
| 2024 | 27,176 | $1.10M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6,168 | 2,161 | $766K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2,494 | 1,642 | $390K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,808 | 1,891 | $316K |
| D1110 | Prophylaxis - adult | 5,755 | 5,607 | $256K |
| D0330 | Panoramic radiographic image | 4,856 | 4,676 | $232K |
| D0274 | Bitewings - four radiographic images | 7,495 | 7,368 | $224K |
| D0220 | Intraoral - periapical first radiographic image | 13,996 | 13,332 | $206K |
| D0120 | Periodic oral evaluation - established patient | 6,772 | 6,622 | $140K |
| D0230 | Intraoral - periapical each additional radiographic image | 16,241 | 12,100 | $122K |
| D1120 | Prophylaxis - child | 4,091 | 3,992 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,667 | 3,548 | $110K |
| D0140 | Limited oral evaluation - problem focused | 3,263 | 3,189 | $98K |
| D1206 | Topical application of fluoride varnish | 5,015 | 4,789 | $91K |
| D2394 | 518 | 371 | $90K | |
| D1208 | Topical application of fluoride, excluding varnish | 3,225 | 3,225 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,473 | 1,363 | $40K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 395 | 279 | $36K |
| D2160 | 217 | 154 | $25K | |
| D5214 | 26 | 26 | $25K | |
| D7140 | Extraction, erupted tooth or exposed root | 335 | 157 | $23K |
| D4341 | 134 | 91 | $20K | |
| D5213 | 14 | 14 | $13K | |
| D7310 | 48 | 27 | $6K | |
| D3120 | 151 | 97 | $5K | |
| D2161 | 14 | 13 | $2K | |
| D0601 | 145 | 145 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | 92 | 51 | $1K |
| D5410 | 29 | 25 | $1K | |
| D0272 | Bitewings - two radiographic images | 51 | 51 | $878.14 |
| D0602 | 58 | 58 | $530.70 |