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

Dental Depot of Tulsa

Dental Depot of Tulsa was paid $4.24M by Medicaid between Oct 2021 and Dec 2024, across 34 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 27% of everything it billed.

33Billing provider infoDENTAL DEPOT OF TULSA
TULSA, OK 74129
33aNPI1467755371assigned 12/15/2010
28Total paid$4.24M
24GClaims102,577
24DCodes billed34
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#13 of 284
Median peer was paid$172K
This provider vs. median25×

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 ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20219,027$285K
202235,100$1.55M
202331,003$1.33M
2024incomplete27,447$1.08M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 27% 9,373 3,115 $1.17M
D0330 Panoramic radiographic image 7.5% 6,502 6,267 $317K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.1% 2,693 1,784 $300K
D0274 Bitewings - four radiographic images 6.1% 8,567 8,385 $260K
D5214 6.1% 277 277 $259K
D0220 Intraoral - periapical first radiographic image 5.9% 16,574 15,888 $249K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4.7% 1,265 872 $198K
D5213 4.3% 195 195 $183K
D1110 Prophylaxis - adult 4.0% 3,774 3,645 $169K
D0230 Intraoral - periapical each additional radiographic image 3.9% 21,843 14,524 $167K
D0150 Comprehensive oral evaluation - new or established patient 3.7% 5,160 5,012 $156K
D1120 Dental cleaning, childProphylaxis - child 3.5% 4,912 4,788 $148K
22 more codes
D0140 Limited oral evaluation - problem focused 3.4% 4,792 $143K
D7250 3.3% 1,129 $141K
D0120 Dental checkup, returning patient 3.1% 6,344 $131K
D1206 Topical application of fluoride varnish 1.7% 3,968 $72K
D1208 Topical application of fluoride, excluding varnish 1.2% 3,473 $52K
D5130 <1% 32 $28K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 437 $26K
D5110 <1% 26 $19K
D5140 <1% 15 $14K
D2332 <1% 111 $12K
D7310 <1% 86 $12K
D0272 Bitewings - two radiographic images <1% 508 $9K
D2394 <1% 16 $3K
D4341 <1% 18 $3K
D0601 <1% 267 $2K
D3221 <1% 12 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 50 $1K
D0210 Intraoral - complete series of radiographic images <1% 85 $1K
D5410 <1% 22 $797.88
D5411 <1% 19 $749.32
D0145 Oral evaluation for a patient under three years of age <1% 14 $426.86
D0602 <1% 18 $164.70

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 officialASHMORE, GLENN (PRESIDENT)
Same official

Other billing entities under ASHMORE, GLENN

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