NPI: 1992339030 · OKLAHOMA CITY, OK 73132 · Dental Clinic/Center · NPI assigned 02/27/2020
Authorized official NELSON, BRAD controls 11+ related entities in our dataset. Read more
| Authorized Official | NELSON, BRAD (OWNER) |
| NPI Enumeration Date | 02/27/2020 |
Other providers sharing the same authorized official: NELSON, BRAD
| Provider | City | State | Total Paid |
|---|---|---|---|
| DUNCAN DENTAL AND IMPLANTS | DUNCAN | OK | $1.09M |
| SHAWNEE DENTISTRY AND BRACES | SHAWNEE | OK | $874K |
| EXCEL DENTISTRY AND BRACES | OKLAHOMA CITY | OK | $319K |
| NORTH PARK FAMILY DENTAL | EDMOND | OK | $50K |
| LAWTON DENTAL AND IMPLANTS, LLC | LAWTON | OK | $40K |
| SOUTHERN POINTE DENTAL AND IMPLANTS LLC | TULSA | OK | $15K |
| COWETA DENTAL AND IMPLANTS | COWETA | OK | $14K |
| PURCELL FAMILY DENTAL LLC | PURCELL | OK | $11K |
| PERRY SMILES | PERRY | OK | $6K |
| MUSKOGEE DENTAL AND IMPLANTS LLC | MUSKOGEE | OK | $6K |
| STILLWATER DENTAL AND IMPLANTS, LLC | STILLWATER | OK | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $593.84 |
| 2022 | 620 | $16K |
| 2023 | 954 | $30K |
| 2024 | 702 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 113 | 67 | $13K |
| D1110 | Prophylaxis - adult | 200 | 200 | $9K |
| D1206 | Topical application of fluoride varnish | 460 | 460 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 507 | 491 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 256 | 256 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 101 | 65 | $6K |
| D0330 | Panoramic radiographic image | 124 | 124 | $6K |
| D0274 | Bitewings - four radiographic images | 181 | 181 | $6K |
| D0120 | Periodic oral evaluation - established patient | 94 | 94 | $2K |
| D0140 | Limited oral evaluation - problem focused | 65 | 65 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 152 | 79 | $1K |
| D1120 | Prophylaxis - child | 39 | 39 | $1K |
| D0350 | 12 | 12 | $330.73 |