NPI: 1891273835 · ROGERS, AR 72756 · Dental Clinic/Center · NPI assigned 08/01/2018
Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
| Authorized Official | CARDON, CREED (OWNER) |
| NPI Enumeration Date | 08/01/2018 |
Other providers sharing the same authorized official: CARDON, CREED
| Provider | City | State | Total Paid |
|---|---|---|---|
| MCO PEDS PLLC | JENKS | OK | $2.51M |
| OKLAHOMA CITY DENTAL SW, PLLC | OKLAHOMA CITY | OK | $1.24M |
| SUMMER DENTAL STILLWATER, PLLC | STILLWATER | OK | $1.22M |
| SAPULPA KIDS DENTAL PLLC | SAPULPA | OK | $1.12M |
| SPRING ORTHODONTICS TULSA | TULSA | OK | $1.03M |
| SPRING DENTAL COLLINSVILLE, PLLC | COLLINSVILLE | OK | $1.01M |
| OKC 89TH DENTAL, PLLC | OKLAHOMA CITY | OK | $962K |
| TULSA KIDS DENTAL PLLC | TULSA | OK | $857K |
| WITCHITA 21ST DENTAL, PA | WICHITA | KS | $802K |
| SUMMER DENTAL MIDWEST CITY, PLLC | MIDWEST CITY | OK | $454K |
| SPRING DENTAL VINITA, PLLC | VINITA | OK | $371K |
| RIVER DENTAL SILOAM SPRINGS, PLLC | SILOAM SPRINGS | AR | $267K |
| ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC | TULSA | OK | $194K |
| COTTONWOOD DENTAL MAIZE, PA | WICHITA | KS | $186K |
| REDBUD DENTAL EDMOND, PLLC | EDMOND | OK | $157K |
| DENTAL CARE OF WICHITA PA | WICHITA | KS | $73K |
| RIVER DENTAL ROGERS SOUTH, PLLC | ROGERS | AR | $66K |
| MARION FAMILY SMILES, P.A. | MARION | KS | $56K |
| OWASSO PEDIATRIC DENTISTRY, PLLC | OWASSO | OK | $45K |
| WILLOW DENTAL BELLEVUE, LLC | BELLEVUE | NE | $23K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 238 | $6K |
| 2020 | 305 | $12K |
| 2021 | 107 | $3K |
| 2022 | 208 | $5K |
| 2023 | 756 | $23K |
| 2024 | 340 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 366 | 341 | $24K |
| D0120 | Periodic oral evaluation - established patient | 640 | 620 | $16K |
| D1110 | Prophylaxis - adult | 248 | 239 | $11K |
| D1206 | Topical application of fluoride varnish | 209 | 205 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 257 | 216 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 62 | 55 | $2K |
| D0272 | Bitewings - two radiographic images | 61 | 61 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 67 | 41 | $541.50 |
| D0330 | Panoramic radiographic image | 13 | 12 | $438.90 |
| D1208 | Topical application of fluoride, excluding varnish | 17 | 17 | $301.28 |
| D0350 | 14 | 14 | $0.00 |