DENTAL DEPOT ORTHODONTICS SOUTH PLLC
NPI: 1629491832
· OKLAHOMA CITY, OK 73139
· 1223X0400X
$2.53M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
357 |
$146K |
| 2022 |
2,166 |
$818K |
| 2023 |
2,705 |
$975K |
| 2024 |
1,562 |
$595K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
|
1,983 |
1,966 |
$2.31M |
| D0340 |
|
1,853 |
1,812 |
$113K |
| D0350 |
|
1,696 |
1,659 |
$52K |
| D9310 |
|
767 |
760 |
$37K |
| D0330 |
|
491 |
478 |
$24K |