NPI: 1912553215 · MIDWEST CITY, OK 73110 · Dental Clinic/Center · NPI assigned 08/13/2019
Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more
| Authorized Official | URBANOZO, SHAUN (CREDENTIALING MANAGER) |
| Parent Organization | PEDIATRIC DENTAL GROUP II, LLC |
| NPI Enumeration Date | 08/13/2019 |
Other providers sharing the same authorized official: URBANOZO, SHAUN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,635 | $84K |
| 2020 | 18,075 | $586K |
| 2021 | 28,972 | $852K |
| 2022 | 31,131 | $957K |
| 2023 | 41,259 | $1.28M |
| 2024 | 36,476 | $1.08M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7,330 | 4,621 | $783K |
| D1120 | Prophylaxis - child | 19,018 | 18,615 | $576K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4,288 | 2,843 | $514K |
| D1206 | Topical application of fluoride varnish | 23,258 | 22,840 | $388K |
| D1351 | Sealant - per tooth | 14,323 | 4,038 | $346K |
| D0120 | Periodic oral evaluation - established patient | 15,608 | 15,252 | $330K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8,882 | 8,059 | $241K |
| D1110 | Prophylaxis - adult | 5,088 | 5,025 | $230K |
| D0330 | Panoramic radiographic image | 4,100 | 3,987 | $198K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,600 | 1,911 | $155K |
| D0272 | Bitewings - two radiographic images | 8,361 | 8,191 | $152K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4,936 | 4,847 | $149K |
| D0220 | Intraoral - periapical first radiographic image | 8,977 | 8,605 | $136K |
| D0274 | Bitewings - four radiographic images | 3,323 | 3,288 | $100K |
| D7140 | Extraction, erupted tooth or exposed root | 1,486 | 1,125 | $98K |
| D0603 | 9,996 | 9,776 | $91K | |
| D0140 | Limited oral evaluation - problem focused | 2,035 | 1,988 | $61K |
| D0230 | Intraoral - periapical each additional radiographic image | 7,844 | 5,680 | $60K |
| D7111 | 734 | 550 | $44K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 461 | 361 | $42K |
| D0145 | Oral evaluation for a patient under three years of age | 1,160 | 1,137 | $35K |
| D0602 | 3,561 | 3,529 | $32K | |
| D9248 | 212 | 202 | $29K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 198 | 154 | $26K |
| D0350 | 503 | 503 | $15K | |
| D0601 | 240 | 240 | $2K | |
| D9310 | 12 | 12 | $585.36 | |
| D0270 | 14 | 14 | $213.36 |