Dental
Dental Depot 62ND & South Western PLLC
Dental Depot 62ND & South Western PLLC was paid $3.46M by Medicaid between Oct 2021 and Dec 2024, across 31 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 12% of everything it billed.
33Billing provider infoDENTAL DEPOT 62ND & SOUTH WESTERN PLLC
OKLAHOMA CITY, OK 73139
OKLAHOMA CITY, OK 73139
33aNPI1003196239assigned 08/19/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$3.46M
24GClaims112,698
24DCodes billed31
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#19 of 284
Median peer was paid$172K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 9,250 | $255K | |
| 2022 | 35,992 | $1.08M | |
| 2023 | 35,038 | $1.09M | |
| 2024incomplete | 32,418 | $1.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 3,642 | 1,331 | $428K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,638 | 2,506 | $397K |
| D1110 | Prophylaxis - adult | 9.1% | 7,052 | 6,741 | $314K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 18,012 | 17,172 | $268K |
| D0274 | Bitewings - four radiographic images | 7.6% | 8,828 | 8,525 | $264K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 12,386 | 11,887 | $260K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 8,301 | 7,995 | $251K |
| D0330 | Panoramic radiographic image | 7.0% | 5,072 | 4,801 | $242K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.0% | 1,370 | 997 | $207K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 19,974 | 16,012 | $150K |
| D1206 | Topical application of fluoride varnish | 3.8% | 7,162 | 6,595 | $131K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 3,634 | 3,448 | $109K |
19 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 5,932 | $89K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 2,786 | $83K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.9% | 540 | $66K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 918 | $55K |
| D2160 | 1.4% | 284 | $47K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 1,583 | $43K |
| D0272 | Bitewings - two radiographic images | <1% | 548 | $10K |
| D7250 | <1% | 69 | $9K | |
| D2394 | <1% | 47 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 117 | $8K |
| D2332 | <1% | 66 | $7K | |
| D1351 | Sealant - per tooth | <1% | 209 | $5K |
| D2140 | <1% | 54 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 190 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 72 | $2K |
| D0601 | <1% | 95 | $869.25 | |
| D3120 | <1% | 28 | $854.00 | |
| D0603 | <1% | 47 | $430.05 | |
| D0602 | <1% | 42 | $384.30 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialASHMORE, GLENN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR Glenn a Ashmore INC | Okc, OK | $6.19M |
| Dental Depot of 10004 South Memorial Drive PLLC | Oklahoma City, OK | $5.17M |
| Glenn C. Ashmore DDS, INC. | San Diego, CA | $5.05M |
| Dental Depot Southern Hills 71ST & Jackson | Tulsa, OK | $4.27M |
| Dental Depot of Tulsa | Tulsa, OK | $4.24M |
| Dental Depot of I-44 & Harvard, PLLC | Tulsa, OK | $4.14M |
| Dental Depot of Norman, PLLC | Norman, OK | $3.92M |
| Ashmore Dental Corporation | San Diego, CA | $3.65M |
| Dental Depot of 63RD & NW Expressway, PLLC | Oklahoma City, OK | $3.41M |
| Glenn Casey Ashmore Dental Corp. | San Diego, CA | $3.35M |
| Dental Depot of Broken Arrow, PLLC | Broken Arrow, OK | $3.21M |
| Dental Depot of 145TH & N. Penn | Oklahoma City, OK | $3.17M |
| Dentl Depot Reno and Rockwell, PLLC | Oklahoma City, OK | $3.10M |
| G.C. Ashmore Dental Corp. | San Diego, CA | $2.90M |
| Dental Depot of 36TH & Tecumseh, PLLC | Norman, OK | $1.64M |
| G. Ashmore Dental Corp. | San Diego, CA | $895K |
| Gca Ashmore Dental Corp | Escondido, CA | $792K |
| C. Ashmore Dental Corp. | San Diego, CA | $186K |
| Arthurs Dental of Phoenix PLLC | Phoenix, AZ | $42K |
| Dental Depot of Surprise, PLLC | Surprise, AZ | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.