Dental
Dental Depot South
Dental Depot South was paid $3.40M by Medicaid between Oct 2021 and Dec 2024, across 24 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 15% of everything it billed.
33Billing provider infoDENTAL DEPOT SOUTH
OKLAHOMA CITY, OK 73139
OKLAHOMA CITY, OK 73139
33aNPI1578768180assigned 06/15/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$3.40M
24GClaims110,106
24DCodes billed24
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#20 of 284
Median peer was paid$172K
This provider vs. median20×
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 ZISSA, GAYLON controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 8,937 | $264K | |
| 2022 | 36,695 | $1.10M | |
| 2023 | 34,140 | $1.02M | |
| 2024incomplete | 30,334 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 15% | 4,286 | 1,359 | $515K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,505 | 2,335 | $390K |
| D1110 | Prophylaxis - adult | 8.8% | 6,724 | 6,463 | $298K |
| D0274 | Bitewings - four radiographic images | 8.8% | 10,021 | 9,765 | $298K |
| D0330 | Panoramic radiographic image | 7.8% | 5,615 | 5,371 | $265K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 17,924 | 17,136 | $264K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.0% | 1,739 | 1,120 | $239K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 10,962 | 10,582 | $227K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 7,125 | 6,894 | $212K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 19,754 | 16,030 | $148K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 4,444 | 4,292 | $133K |
| D1206 | Topical application of fluoride varnish | 3.8% | 7,083 | 6,606 | $129K |
12 more codes
| D0140 | Limited oral evaluation - problem focused | 2.6% | 3,017 | $90K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 5,574 | $82K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,158 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 517 | $31K |
| D7230 | <1% | 122 | $23K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 185 | $12K |
| D2394 | <1% | 39 | $5K | |
| D3120 | <1% | 135 | $4K | |
| D7310 | <1% | 22 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 102 | $1K |
| D0601 | <1% | 41 | $375.15 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $366.00 |
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 officialZISSA, GAYLON (DIRECTOR PROVIDER RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Dental Depot Orthodontics Central Okc PLLC | Oklahoma City, OK | $3.31M |
| Dental Depot Orthodontics South PLLC | Oklahoma City, OK | $2.53M |
| Dental Depot of I-44 & Garnett, PLLC | Tulsa, OK | $1.34M |
| Dental Depot Orthodontics North Okc PLLC | Oklahoma City, OK | $1.22M |
| Dental Depot Orthodontics Yukon PLLC | Yukon, OK | $1.04M |
| Dental Depot of 164TH & Portland PLLC | Oklahoma City, OK | $546K |
| Dental Depot of Del City, PLLC | Del City, OK | $438K |
| Dental Depot Orthodontics Tecumseh, PLLC | Norman, OK | $107K |
| Dental Depot of Arlington PLLC | Arlington, TX | $31K |
| Dental Depot Orthodontics Del City, PLLC | Del City, OK | $21K |
| Dental Depot of Blue Springs PLLC | Blue Springs, MO | $21K |
| Dental Depot of Independence, PLLC | Independence, MO | $6K |
| Dental Depot of Mustang, PLLC | Oklahoma City, OK | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.