DENTAL DEPOT OF 36TH & TECUMSEH, PLLC
NPI: 1508363771
· NORMAN, OK 73072
· 122300000X
$1.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,520 |
$75K |
| 2022 |
13,863 |
$414K |
| 2023 |
15,936 |
$537K |
| 2024 |
16,457 |
$615K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
2,819 |
968 |
$347K |
| D2392 |
|
1,885 |
1,130 |
$219K |
| D0274 |
|
4,377 |
4,282 |
$130K |
| D0330 |
|
2,657 |
2,549 |
$127K |
| D0220 |
|
8,121 |
7,685 |
$119K |
| D1110 |
|
2,507 |
2,434 |
$110K |
| D2393 |
|
683 |
452 |
$109K |
| D1120 |
|
2,737 |
2,631 |
$80K |
| D0140 |
|
2,576 |
2,459 |
$77K |
| D0120 |
|
3,615 |
3,481 |
$73K |
| D0230 |
|
9,007 |
6,947 |
$67K |
| D1206 |
|
2,858 |
2,688 |
$52K |
| D0150 |
|
1,662 |
1,629 |
$49K |
| D9230 |
|
964 |
850 |
$26K |
| D1208 |
|
1,634 |
1,634 |
$23K |
| D2391 |
|
356 |
248 |
$21K |
| D7140 |
|
79 |
27 |
$6K |
| D3120 |
|
112 |
64 |
$3K |
| D0601 |
|
88 |
88 |
$797.05 |
| D0210 |
|
26 |
14 |
$467.31 |
| D0602 |
|
13 |
13 |
$118.95 |