NPI: 1922626639 · PURCELL, OK 73080 · Dental Clinic/Center · NPI assigned 07/09/2020
Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOWMAN, BENJAMIN (OWNER) |
| NPI Enumeration Date | 07/09/2020 |
Other providers sharing the same authorized official: BOWMAN, BENJAMIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EL RENO DENTAL | EL RENO | OK | $649K |
| WOODLAND DENTISTRY AND BRACES | TULSA | OK | $552K |
| HARRAH DENTISTRY & BRACES | HARRAH | OK | $397K |
| KINGFISHER DENTAL PLLC | KINGFISHER | OK | $392K |
| CAPITOL HILL DENTISTRY & BRACES PLLC | OKLAHOMA CITY | OK | $295K |
| WEATHERFORD DENTISTRY & BRACES | WEATHERFORD | OK | $278K |
| DENTAL SURGERY CENTER OF MIDWEST CITY | OKLAHOMA CITY | OK | $249K |
| CHOCTAW DENTAL PLLC | CHOCTAW | OK | $214K |
| CLEVELAND DENTISTRY AND BRACES | CLEVELAND | OK | $210K |
| MUSTANG DENTISTRY & BRACES | MUSTANG | OK | $184K |
| SULPHUR DENTISTRY & BRACES | SULPHUR | OK | $152K |
| SAPULPA DENTISTRY AND BRACES | SAPULPA | OK | $136K |
| SHATTUCK DENTISTRY & BRACES | SHATTUCK | OK | $128K |
| I240 DENTAL, PLLC | OKLAHOMA CITY | OK | $125K |
| YUKON DENTISTRY & BRACES | YUKON | OK | $117K |
| SAND SPRINGS DENTISTRY AND BRACES | SAND SPRINGS | OK | $72K |
| MIDWEST CITY FAMILY DENTISTRY | OKLAHOMA CITY | OK | $60K |
| RICHFIELD FAMILY DENTAL | RICHFIELD | UT | $60K |
| ADA DENTISTRY AND BRACES | ADA | OK | $53K |
| MUSTANG NORTH DENTAL | YUKON | OK | $48K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 141 | $4K |
| 2021 | 2,984 | $103K |
| 2022 | 3,063 | $107K |
| 2023 | 3,157 | $130K |
| 2024 | 3,146 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 913 | 145 | $114K |
| D0330 | Panoramic radiographic image | 955 | 942 | $47K |
| D1110 | Prophylaxis - adult | 904 | 889 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 429 | 238 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,118 | 1,095 | $34K |
| D1120 | Prophylaxis - child | 1,110 | 1,089 | $33K |
| D0274 | Bitewings - four radiographic images | 1,019 | 1,004 | $31K |
| D1206 | Topical application of fluoride varnish | 1,743 | 1,718 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 399 | 224 | $23K |
| D0120 | Periodic oral evaluation - established patient | 1,074 | 1,050 | $23K |
| D0140 | Limited oral evaluation - problem focused | 444 | 442 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 859 | 820 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 350 | 327 | $9K |
| D0272 | Bitewings - two radiographic images | 363 | 347 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 766 | 440 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 19 | 15 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $167.64 |
| D0601 | 14 | 14 | $128.10 |