Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Norman › NPI 1508363771
Dental

Dental Depot of 36TH & Tecumseh, PLLC

Dental Depot of 36TH & Tecumseh, PLLC was paid $1.64M by Medicaid between Oct 2021 and Dec 2024, across 21 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 21% of everything it billed.

33Billing provider infoDENTAL DEPOT OF 36TH & TECUMSEH, PLLC
NORMAN, OK 73072
33aNPI1508363771assigned 04/12/2018
33bProvider typeDentist
28Total paid$1.64M
24GClaims48,776
24DCodes billed21
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#19 of 150
Median peer was paid$154K
This provider vs. median11×

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$50K$100K2018201920202021202220232024
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
20212,520$75K
202213,863$414K
202315,936$537K
2024incomplete16,457$615K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 21% 2,819 968 $347K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 1,885 1,130 $219K
D0274 Bitewings - four radiographic images 7.9% 4,377 4,282 $130K
D0330 Panoramic radiographic image 7.7% 2,657 2,549 $127K
D0220 Intraoral - periapical first radiographic image 7.2% 8,121 7,685 $119K
D1110 Prophylaxis - adult 6.7% 2,507 2,434 $110K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 6.6% 683 452 $109K
D1120 Dental cleaning, childProphylaxis - child 4.9% 2,737 2,631 $80K
D0140 Limited oral evaluation - problem focused 4.7% 2,576 2,459 $77K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.5% 3,615 3,481 $73K
D0230 Intraoral - periapical each additional radiographic image 4.1% 9,007 6,947 $67K
D1206 Topical application of fluoride varnish 3.1% 2,858 2,688 $52K
9 more codes
D0150 Comprehensive oral evaluation - new or established patient 3.0% 1,662 $49K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.6% 964 $26K
D1208 Topical application of fluoride, excluding varnish 1.4% 1,634 $23K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.3% 356 $21K
D7140 Extraction, erupted tooth or exposed root <1% 79 $6K
D3120 <1% 112 $3K
D0601 <1% 88 $797.05
D0210 Intraoral - complete series of radiographic images <1% 26 $467.31
D0602 <1% 13 $118.95

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

Full network →

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