Dental Depot Southern Hills 71ST & Jackson
Dental Depot Southern Hills 71ST & Jackson was paid $4.27M by Medicaid between Oct 2021 and Dec 2024, across 35 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 29% of everything it billed.
TULSA, OK 74132
Next to other Dental Clinic/Center providers in Oklahoma
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 4,510 | $154K | |
| 2022 | 27,744 | $1.03M | |
| 2023 | 36,110 | $1.83M | |
| 2024incomplete | 30,900 | $1.26M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 29% | 9,795 | 2,803 | $1.22M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 2,753 | 1,596 | $445K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 2,939 | 1,893 | $337K |
| D0330 | Panoramic radiographic image | 5.9% | 5,200 | 5,007 | $252K |
| D0274 | Bitewings - four radiographic images | 5.1% | 7,265 | 7,088 | $220K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 14,853 | 13,994 | $219K |
| D5214 | 5.0% | 221 | 221 | $212K | |
| D1110 | Prophylaxis - adult | 4.3% | 4,183 | 4,034 | $186K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 21,867 | 12,550 | $166K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 6,672 | 6,453 | $138K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 4,479 | 4,343 | $134K |
| D5213 | 3.1% | 140 | 140 | $133K |
23 more codes
| D0140 | Limited oral evaluation - problem focused | 2.9% | 4,057 | $122K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 3,999 | $121K |
| D1206 | Topical application of fluoride varnish | 2.2% | 5,167 | $94K |
| D2335 | 1.2% | 389 | $49K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,442 | $36K |
| D2394 | <1% | 177 | $32K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 113 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 726 | $20K |
| D2332 | <1% | 175 | $18K | |
| D3221 | <1% | 109 | $13K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 182 | $13K |
| D7310 | <1% | 88 | $12K | |
| D4341 | <1% | 69 | $11K | |
| D5130 | <1% | 13 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 163 | $10K |
| D3120 | <1% | 204 | $6K | |
| D0601 | <1% | 446 | $4K | |
| D5422 | <1% | 85 | $3K | |
| D5410 | <1% | 71 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 45 | $1K |
| D5421 | <1% | 32 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 55 | $1K |
| D0602 | <1% | 90 | $815.35 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.