G. ASHMORE DENTAL CORP.

NPI: 1629648142 · SAN DIEGO, CA 92103 · Dentist · NPI assigned 06/28/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more

$895K

Total Medicaid Paid

18,440

Total Claims

12,755

Beneficiaries

Codes Billed

2022-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	ASHMORE, GLENN (OWNER)
NPI Enumeration Date	06/28/2021

Other providers sharing the same authorized official: ASHMORE, GLENN

Provider	City	State	Total Paid
DR GLENN A ASHMORE INC	OKC	OK	$6.19M
DENTAL DEPOT OF 10004 SOUTH MEMORIAL DRIVE PLLC	OKLAHOMA CITY	OK	$5.17M
GLENN C. ASHMORE DDS, INC.	SAN DIEGO	CA	$5.05M
DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON	TULSA	OK	$4.27M
DENTAL DEPOT OF TULSA	TULSA	OK	$4.24M
DENTAL DEPOT OF I-44 & HARVARD, PLLC	TULSA	OK	$4.14M
DENTAL DEPOT OF NORMAN, PLLC	NORMAN	OK	$3.92M
ASHMORE DENTAL CORPORATION	SAN DIEGO	CA	$3.65M
DENTAL DEPOT 62ND & SOUTH WESTERN PLLC	OKLAHOMA CITY	OK	$3.46M
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC	OKLAHOMA CITY	OK	$3.41M
GLENN CASEY ASHMORE DENTAL CORP.	SAN DIEGO	CA	$3.35M
DENTAL DEPOT OF BROKEN ARROW, PLLC	BROKEN ARROW	OK	$3.21M
DENTAL DEPOT OF 145TH & N. PENN	OKLAHOMA CITY	OK	$3.17M
DENTL DEPOT RENO AND ROCKWELL, PLLC	OKLAHOMA CITY	OK	$3.10M
G.C. ASHMORE DENTAL CORP.	SAN DIEGO	CA	$2.90M
DENTAL DEPOT OF 36TH & TECUMSEH, PLLC	NORMAN	OK	$1.64M
GCA ASHMORE DENTAL CORP	ESCONDIDO	CA	$792K
C. ASHMORE DENTAL CORP.	SAN DIEGO	CA	$186K
ARTHURS DENTAL OF PHOENIX PLLC	PHOENIX	AZ	$42K
DENTAL DEPOT OF SURPRISE, PLLC	SURPRISE	AZ	$32K

Code	Description	Claims	Beneficiaries	Total Paid
D2740	Crown - porcelain/ceramic	552	419	$262K
D1110	Prophylaxis - adult	1,564	1,555	$132K
D0150	Comprehensive oral evaluation - new or established patient	1,999	1,984	$129K
D0210	Intraoral - complete series of radiographic images	1,303	1,300	$62K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	740	426	$49K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	103	98	$47K
D2954		357	289	$37K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	285	128	$33K
D0120	Periodic oral evaluation - established patient	408	407	$30K
D0230	Intraoral - periapical each additional radiographic image	5,419	1,116	$22K
D0220	Intraoral - periapical first radiographic image	1,451	1,377	$17K
D1206	Topical application of fluoride varnish	1,028	1,019	$17K
D0274	Bitewings - four radiographic images	868	862	$16K
D1208	Topical application of fluoride, excluding varnish	1,011	1,011	$13K
D0350		975	465	$9K
D4341		101	29	$7K
D1120	Prophylaxis - child	81	81	$4K
D4910		45	45	$3K
D9430		103	103	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	21	15	$2K
D0330	Panoramic radiographic image	26	26	$780.00