NPI: 1922349026 · OKLAHOMA CITY, OK 73134 · Dentist · NPI assigned 03/14/2013
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (OWNER / PRESIDENT) |
| NPI Enumeration Date | 03/14/2013 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,759 | $212K |
| 2022 | 32,813 | $1.03M |
| 2023 | 30,316 | $1.06M |
| 2024 | 24,617 | $867K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4,269 | 2,952 | $471K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3,815 | 1,481 | $470K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,817 | 1,382 | $272K |
| D1110 | Prophylaxis - adult | 6,019 | 5,857 | $263K |
| D0220 | Intraoral - periapical first radiographic image | 15,433 | 14,777 | $223K |
| D0274 | Bitewings - four radiographic images | 7,376 | 7,243 | $216K |
| D0330 | Panoramic radiographic image | 4,335 | 4,151 | $206K |
| D0120 | Periodic oral evaluation - established patient | 9,268 | 9,036 | $189K |
| D1120 | Prophylaxis - child | 5,709 | 5,591 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 16,040 | 13,202 | $118K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,199 | 3,124 | $96K |
| D1206 | Topical application of fluoride varnish | 5,119 | 4,860 | $92K |
| D0140 | Limited oral evaluation - problem focused | 2,822 | 2,751 | $82K |
| D2394 | 506 | 410 | $80K | |
| D1208 | Topical application of fluoride, excluding varnish | 4,819 | 4,812 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2,203 | 2,039 | $59K |
| D5214 | 28 | 28 | $28K | |
| D7140 | Extraction, erupted tooth or exposed root | 345 | 195 | $23K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 86 | 66 | $10K |
| D3120 | 340 | 262 | $10K | |
| D3240 | 83 | 64 | $9K | |
| D0272 | Bitewings - two radiographic images | 416 | 414 | $7K |
| D0601 | 253 | 253 | $2K | |
| D3221 | 17 | 12 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 65 | 36 | $926.52 |
| D0602 | 96 | 96 | $878.40 | |
| D0145 | Oral evaluation for a patient under three years of age | 13 | 13 | $396.50 |
| D0603 | 14 | 14 | $128.10 |