Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › NORMAN › DENTAL DEPOT OF 36TH & TECUMSEH, PLLC

DENTAL DEPOT OF 36TH & TECUMSEH, PLLC

NPI: 1508363771 · NORMAN, OK 73072 · Dentist · NPI assigned 04/12/2018

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

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

$1.64M
Total Medicaid Paid
48,776
Total Claims
42,273
Beneficiaries
21
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialASHMORE, GLENN (PRESIDENT)
NPI Enumeration Date04/12/2018

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 TULSA TULSA OK $4.24M
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
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 2,520 $75K
2022 13,863 $414K
2023 15,936 $537K
2024 16,457 $615K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,819 968 $347K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,885 1,130 $219K
D0274 Bitewings - four radiographic images 4,377 4,282 $130K
D0330 Panoramic radiographic image 2,657 2,549 $127K
D0220 Intraoral - periapical first radiographic image 8,121 7,685 $119K
D1110 Prophylaxis - adult 2,507 2,434 $110K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 683 452 $109K
D1120 Prophylaxis - child 2,737 2,631 $80K
D0140 Limited oral evaluation - problem focused 2,576 2,459 $77K
D0120 Periodic oral evaluation - established patient 3,615 3,481 $73K
D0230 Intraoral - periapical each additional radiographic image 9,007 6,947 $67K
D1206 Topical application of fluoride varnish 2,858 2,688 $52K
D0150 Comprehensive oral evaluation - new or established patient 1,662 1,629 $49K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 964 850 $26K
D1208 Topical application of fluoride, excluding varnish 1,634 1,634 $23K
D2391 Resin-based composite - one surface, posterior, primary or permanent 356 248 $21K
D7140 Extraction, erupted tooth or exposed root 79 27 $6K
D3120 112 64 $3K
D0601 88 88 $797.05
D0210 Intraoral - complete series of radiographic images 26 14 $467.31
D0602 13 13 $118.95