Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dental Depot of Del City, PLLC

Dental Depot of Del City, PLLC was paid $438K by Medicaid between Dec 2023 and Dec 2024, across 20 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 21% of everything it billed.

33Billing provider infoDENTAL DEPOT OF DEL CITY, PLLC
DEL CITY, OK 73115
33aNPI1205512779assigned 06/27/2023
33bProvider typeDentist
28Total paid$438K
24GClaims10,886
24DCodes billed20
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#47 of 150
Median peer was paid$154K
This provider vs. median2.8×

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 ZISSA, GAYLON controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202386$2K
2024incomplete10,800$436K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 21% 768 245 $92K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 20% 522 277 $88K
D0330 Panoramic radiographic image 11% 958 859 $47K
D0150 Comprehensive oral evaluation - new or established patient 7.7% 1,096 973 $34K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.3% 256 156 $32K
D0274 Bitewings - four radiographic images 6.7% 963 909 $30K
D0220 Intraoral - periapical first radiographic image 6.3% 1,790 1,589 $27K
D1110 Prophylaxis - adult 4.7% 446 410 $21K
D1120 Dental cleaning, childProphylaxis - child 3.5% 511 440 $15K
D1206 Topical application of fluoride varnish 3.4% 814 728 $15K
D0230 Intraoral - periapical each additional radiographic image 3.4% 1,883 1,383 $15K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.1% 231 215 $5K
8 more codes
D7140 Extraction, erupted tooth or exposed root 1.0% 63 $5K
D0140 Limited oral evaluation - problem focused <1% 137 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 102 $3K
D2394 <1% 12 $2K
D0601 <1% 221 $2K
D0602 <1% 51 $466.65
D0210 Intraoral - complete series of radiographic images <1% 35 $428.09
D0603 <1% 27 $222.60

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 officialZISSA, GAYLON (DIRECTOR OF PROVIDER RELATIONS)
Same official

Other billing entities under ZISSA, GAYLON

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.