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DENTAL DEPOT OF I-44 & GARNETT, PLLC
DENTAL DEPOT OF I-44 & GARNETT, PLLC
NPI: 1417624578
· TULSA, OK 74128
· 1223G0001X
$1.34M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
11,830 |
$333K |
| 2023 |
12,279 |
$346K |
| 2024 |
16,868 |
$665K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
1,930 |
814 |
$243K |
| D0330 |
|
2,866 |
2,793 |
$140K |
| D2392 |
|
1,031 |
704 |
$117K |
| D0274 |
|
3,587 |
3,483 |
$110K |
| D0220 |
|
6,736 |
6,270 |
$102K |
| D0150 |
|
2,925 |
2,807 |
$88K |
| D1110 |
|
1,816 |
1,750 |
$82K |
| D2393 |
|
481 |
328 |
$80K |
| D0230 |
|
9,150 |
5,688 |
$71K |
| D1120 |
|
2,187 |
2,124 |
$66K |
| D0120 |
|
2,404 |
2,347 |
$51K |
| D1206 |
|
2,620 |
2,499 |
$48K |
| D0140 |
|
1,152 |
1,085 |
$35K |
| D5214 |
|
28 |
25 |
$27K |
| D2394 |
|
153 |
112 |
$27K |
| D1208 |
|
903 |
903 |
$14K |
| D7140 |
|
180 |
74 |
$13K |
| D5213 |
|
12 |
12 |
$10K |
| D2391 |
|
127 |
104 |
$8K |
| D9230 |
|
208 |
182 |
$6K |
| D0145 |
|
114 |
107 |
$3K |
| D0601 |
|
152 |
152 |
$1K |
| D0602 |
|
75 |
75 |
$686.25 |
| D0210 |
|
63 |
28 |
$674.28 |
| D0603 |
|
61 |
61 |
$558.15 |
| D0272 |
|
16 |
16 |
$292.80 |