STILLWATER DENTISTRY & BRACES

NPI: 1962924100 · STILLWATER, OK 74075 · Dental Clinic/Center · NPI assigned 07/10/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BOWMAN, BENJAMIN controls 20+ related entities in our dataset. Read more

$15K

Total Medicaid Paid

680

Total Claims

495

Beneficiaries

Codes Billed

2023-10

First Month

2024-11

Last Month

Provider Details

Authorized Official	BOWMAN, BENJAMIN (MANAGER)
NPI Enumeration Date	07/10/2017

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
DENTAL LODGE OF PURCELL	PURCELL	OK	$465K
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

Year	Claims	Total Paid
2023	196	$3K
2024	484	$12K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	88	76	$4K
D0210	Intraoral - complete series of radiographic images	37	29	$2K
D0274	Bitewings - four radiographic images	64	57	$2K
D0230	Intraoral - periapical each additional radiographic image	228	92	$2K
D0120	Periodic oral evaluation - established patient	80	76	$2K
D0220	Intraoral - periapical first radiographic image	104	95	$2K
D0150	Comprehensive oral evaluation - new or established patient	47	38	$1K
D1206	Topical application of fluoride varnish	16	16	$296.34
D1208	Topical application of fluoride, excluding varnish	16	16	$243.84