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

Dental Depot Orthodontics South PLLC

Dental Depot Orthodontics South PLLC was paid $2.53M by Medicaid between Oct 2021 and Nov 2024, across 5 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 91% of everything it billed.

33Billing provider infoDENTAL DEPOT ORTHODONTICS SOUTH PLLC
OKLAHOMA CITY, OK 73139
33aNPI1629491832assigned 01/23/2014
28Total paid$2.53M
24GClaims6,790
24DCodes billed5
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Oklahoma

Rank by total paid#8 of 37
Median peer was paid$612K
This provider vs. median4.1×

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

$0$50K$100K$150K2018201920202021202220232024
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
2021357$146K
20222,166$818K
20232,705$975K
2024incomplete1,562$595K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 91% 1,983 1,966 $2.31M
D0340 4.5% 1,853 1,812 $113K
D0350 2.0% 1,696 1,659 $52K
D9310 1.5% 767 760 $37K
D0330 Panoramic radiographic image <1% 491 478 $24K

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)
Parent organizationDENTAL DEPOT WESTMINSTER VILLAGE LLC
Same official

Other billing entities under ZISSA, GAYLON

Full network →

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