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

Dental Depot of I-44 & Harvard, PLLC

Dental Depot of I-44 & Harvard, PLLC was paid $4.14M by Medicaid between Oct 2021 and Dec 2024, across 39 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 24% of everything it billed.

33Billing provider infoDENTAL DEPOT OF I-44 & HARVARD, PLLC
TULSA, OK 74135
33aNPI1548779135assigned 09/26/2017
33bProvider typeDentist
28Total paid$4.14M
24GClaims98,882
24DCodes billed39
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#6 of 150
Median peer was paid$154K
This provider vs. median27×

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
20216,548$203K
202231,196$1.20M
202331,354$1.46M
2024incomplete29,784$1.28M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 24% 8,049 2,589 $1.01M
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12% 3,191 1,951 $510K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.4% 3,037 1,793 $348K
D0330 Panoramic radiographic image 6.1% 5,143 4,925 $251K
D0274 Bitewings - four radiographic images 5.4% 7,453 7,274 $225K
D0220 Intraoral - periapical first radiographic image 5.4% 15,091 14,296 $225K
D1110 Prophylaxis - adult 4.3% 4,027 3,902 $179K
D0230 Intraoral - periapical each additional radiographic image 4.1% 22,238 12,937 $169K
D5214 3.9% 169 169 $163K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.7% 7,352 7,136 $152K
D1120 Dental cleaning, childProphylaxis - child 3.2% 4,475 4,344 $134K
D0140 Limited oral evaluation - problem focused 2.9% 4,004 3,916 $119K
27 more codes
D0150 Comprehensive oral evaluation - new or established patient 2.5% 3,446 $105K
D2394 2.5% 585 $102K
D5213 2.4% 102 $100K
D1206 Topical application of fluoride varnish 2.0% 4,618 $84K
D2335 1.2% 389 $49K
D1208 Topical application of fluoride, excluding varnish 1.1% 2,968 $44K
D7310 <1% 254 $34K
D2332 <1% 293 $31K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 988 $27K
D5130 <1% 24 $19K
D4341 <1% 63 $9K
D5110 <1% 12 $9K
D5422 <1% 215 $8K
D5410 <1% 141 $6K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 56 $5K
D3221 <1% 38 $5K
D5421 <1% 85 $3K
D0350 <1% 91 $3K
D0145 Oral evaluation for a patient under three years of age <1% 70 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 33 $2K
D4342 <1% 24 $2K
D7140 Extraction, erupted tooth or exposed root <1% 17 $1K
D3120 <1% 31 $945.19
D5411 <1% 13 $519.64
D0601 <1% 51 $466.65
D0210 Intraoral - complete series of radiographic images <1% 30 $422.23
D0602 <1% 16 $146.40

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 / OWNER)
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.