PONCA CITY DENTAL GROUP PLLC

NPI: 1891328274 · PONCA CITY, OK 74601 · General Practice Dentistry · NPI assigned 02/13/2020

$3K

Total Medicaid Paid

187

Total Claims

157

Beneficiaries

Codes Billed

2022-08

First Month

2023-04

Last Month

Provider Details

Authorized Official	BRASHER, JOSHUA (DENTIST)
NPI Enumeration Date	02/13/2020

Other providers sharing the same authorized official: BRASHER, JOSHUA

Provider	City	State	Total Paid
BLUE RIVER SMILES PLLC	TISHOMINGO	OK	$1.54M
PERKINS DENTAL GROUP	EDMOND	OK	$916K
NEWKC PLLC	NEWKIRK	OK	$671K
NODA PLLC	BLACKWELL	OK	$655K
BETHANY DENTAL GROUP PLLC	BETHANY	OK	$606K
CRESCENT DENTAL GROUP PLLC	CRESCENT	OK	$443K
ELK CITY DENTAL GROUP PLLC	ELK CITY	OK	$289K
WADG PLLC	WATONGA	OK	$256K
NEWCASTLE DENTAL GROUP PLLC	NEWCASTLE	OK	$207K
LITTLE TOOTH CO PLLC	TULSA	OK	$188K
EASY DENTAL DEL CITY PLLC	DEL CITY	OK	$160K
EASY DENTAL SOUTH PLLC	OKLAHOMA CITY	OK	$72K
BDG PLLC	NORMAN	OK	$63K
LFD PLLC	OKLAHOMA CITY	OK	$56K
2J DENTAL EDGE OF NORMAN PLLC	NORMAN	OK	$24K
PFD PLLC	PERRY	OK	$19K
CLINTON DENTAL GROUP PLLC	CLINTON	OK	$19K
SPARTAN PLLC	BIXBY	OK	$10K
EPIC DENTAL PLLC	MIDWEST CITY	OK	$594.07

Year	Claims	Total Paid
2022	25	$385.40
2023	162	$3K

Code	Claims	Beneficiaries	Total Paid
D0220	92	90	$1K
D0150	25	25	$672.33
D0330	14	14	$621.71
D0274	12	12	$332.90
D0230	44	16	$329.98