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DENTAL DEPOT OF I-44 & HARVARD, PLLC
DENTAL DEPOT OF I-44 & HARVARD, PLLC
NPI: 1548779135
· TULSA, OK 74135
· 122300000X
$4.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
6,548 |
$203K |
| 2022 |
31,196 |
$1.20M |
| 2023 |
31,354 |
$1.46M |
| 2024 |
29,784 |
$1.28M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
8,049 |
2,589 |
$1.01M |
| D2393 |
|
3,191 |
1,951 |
$510K |
| D2392 |
|
3,037 |
1,793 |
$348K |
| D0330 |
|
5,143 |
4,925 |
$251K |
| D0274 |
|
7,453 |
7,274 |
$225K |
| D0220 |
|
15,091 |
14,296 |
$225K |
| D1110 |
|
4,027 |
3,902 |
$179K |
| D0230 |
|
22,238 |
12,937 |
$169K |
| D5214 |
|
169 |
169 |
$163K |
| D0120 |
|
7,352 |
7,136 |
$152K |
| D1120 |
|
4,475 |
4,344 |
$134K |
| D0140 |
|
4,004 |
3,916 |
$119K |
| D0150 |
|
3,446 |
3,280 |
$105K |
| D2394 |
|
585 |
452 |
$102K |
| D5213 |
|
102 |
102 |
$100K |
| D1206 |
|
4,618 |
4,364 |
$84K |
| D2335 |
|
389 |
195 |
$49K |
| D1208 |
|
2,968 |
2,968 |
$44K |
| D7310 |
|
254 |
149 |
$34K |
| D2332 |
|
293 |
191 |
$31K |
| D9230 |
|
988 |
868 |
$27K |
| D5130 |
|
24 |
24 |
$19K |
| D4341 |
|
63 |
42 |
$9K |
| D5110 |
|
12 |
12 |
$9K |
| D5422 |
|
215 |
193 |
$8K |
| D5410 |
|
141 |
109 |
$6K |
| D2150 |
|
56 |
31 |
$5K |
| D3221 |
|
38 |
25 |
$5K |
| D5421 |
|
85 |
81 |
$3K |
| D0350 |
|
91 |
85 |
$3K |
| D0145 |
|
70 |
66 |
$2K |
| D2391 |
|
33 |
26 |
$2K |
| D4342 |
|
24 |
13 |
$2K |
| D7140 |
|
17 |
13 |
$1K |
| D3120 |
|
31 |
26 |
$945.19 |
| D5411 |
|
13 |
12 |
$519.64 |
| D0601 |
|
51 |
51 |
$466.65 |
| D0210 |
|
30 |
12 |
$422.23 |
| D0602 |
|
16 |
16 |
$146.40 |