DENTAL DEPOT 62ND & SOUTH WESTERN PLLC
NPI: 1003196239
· OKLAHOMA CITY, OK 73139
· General Practice Dentistry
$3.46M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
9,250 |
$255K |
| 2022 |
35,992 |
$1.08M |
| 2023 |
35,038 |
$1.09M |
| 2024 |
32,418 |
$1.03M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
3,642 |
1,331 |
$428K |
| D2392 |
|
3,638 |
2,506 |
$397K |
| D1110 |
|
7,052 |
6,741 |
$314K |
| D0220 |
|
18,012 |
17,172 |
$268K |
| D0274 |
|
8,828 |
8,525 |
$264K |
| D0120 |
|
12,386 |
11,887 |
$260K |
| D1120 |
|
8,301 |
7,995 |
$251K |
| D0330 |
|
5,072 |
4,801 |
$242K |
| D2393 |
|
1,370 |
997 |
$207K |
| D0230 |
|
19,974 |
16,012 |
$150K |
| D1206 |
|
7,162 |
6,595 |
$131K |
| D0150 |
|
3,634 |
3,448 |
$109K |
| D1208 |
|
5,932 |
5,932 |
$89K |
| D0140 |
|
2,786 |
2,704 |
$83K |
| D2150 |
|
540 |
359 |
$66K |
| D2391 |
|
918 |
652 |
$55K |
| D2160 |
|
284 |
194 |
$47K |
| D9230 |
|
1,583 |
1,514 |
$43K |
| D0272 |
|
548 |
541 |
$10K |
| D7250 |
|
69 |
26 |
$9K |
| D2394 |
|
47 |
34 |
$8K |
| D7140 |
|
117 |
73 |
$8K |
| D2332 |
|
66 |
40 |
$7K |
| D1351 |
|
209 |
54 |
$5K |
| D2140 |
|
54 |
42 |
$3K |
| D0210 |
|
190 |
85 |
$3K |
| D0145 |
|
72 |
72 |
$2K |
| D0601 |
|
95 |
95 |
$869.25 |
| D3120 |
|
28 |
24 |
$854.00 |
| D0603 |
|
47 |
47 |
$430.05 |
| D0602 |
|
42 |
42 |
$384.30 |