Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL DEPOT OF TULSA

NPI: 1467755371 · TULSA, OK 74129 · General Practice Dentistry · NPI assigned 12/15/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more

$4.24M
Total Medicaid Paid
102,577
Total Claims
84,675
Beneficiaries
34
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialASHMORE, GLENN (PRESIDENT)
NPI Enumeration Date12/15/2010

Related Entities

Other providers sharing the same authorized official: ASHMORE, GLENN

ProviderCityStateTotal 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 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 62ND & SOUTH WESTERN PLLC OKLAHOMA CITY OK $3.46M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 9,027 $285K
2022 35,100 $1.55M
2023 31,003 $1.33M
2024 27,447 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 9,373 3,115 $1.17M
D0330 Panoramic radiographic image 6,502 6,267 $317K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,693 1,784 $300K
D0274 Bitewings - four radiographic images 8,567 8,385 $260K
D5214 277 277 $259K
D0220 Intraoral - periapical first radiographic image 16,574 15,888 $249K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,265 872 $198K
D5213 195 195 $183K
D1110 Prophylaxis - adult 3,774 3,645 $169K
D0230 Intraoral - periapical each additional radiographic image 21,843 14,524 $167K
D0150 Comprehensive oral evaluation - new or established patient 5,160 5,012 $156K
D1120 Prophylaxis - child 4,912 4,788 $148K
D0140 Limited oral evaluation - problem focused 4,792 4,652 $143K
D7250 1,129 454 $141K
D0120 Periodic oral evaluation - established patient 6,344 6,143 $131K
D1206 Topical application of fluoride varnish 3,968 3,733 $72K
D1208 Topical application of fluoride, excluding varnish 3,473 3,473 $52K
D5130 32 32 $28K
D2391 Resin-based composite - one surface, posterior, primary or permanent 437 318 $26K
D5110 26 26 $19K
D5140 15 15 $14K
D2332 111 71 $12K
D7310 86 43 $12K
D0272 Bitewings - two radiographic images 508 508 $9K
D2394 16 12 $3K
D4341 18 12 $3K
D0601 267 267 $2K
D3221 12 12 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 50 45 $1K
D0210 Intraoral - complete series of radiographic images 85 42 $1K
D5410 22 17 $797.88
D5411 19 16 $749.32
D0145 Oral evaluation for a patient under three years of age 14 14 $426.86
D0602 18 18 $164.70