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

Dental Depot of Mesa PLLC

Dental Depot of Mesa PLLC was paid $15K by Medicaid between Mar 2022 and Sep 2024, across 6 billing codes. Its largest line is D0330, Panoramic radiographic image — 33% of everything it billed.

33Billing provider infoDENTAL DEPOT OF MESA PLLC
MESA, AZ 85202
33aNPI1629659131assigned 04/16/2021
33bProvider typeDental Clinic/Center
28Total paid$15K
24GClaims2,863
24DCodes billed6
24AFirst – last monthMar 2022 – Sep 2024
Compared with peers

Next to other Dental Clinic/Center providers in Arizona

Rank by total paid#31 of 70
Median peer was paid$7K
This provider vs. median2.1×

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 ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
2022164$495.55
20231,078$5K
2024incomplete1,621$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0330 Panoramic radiographic image 33% 158 120 $5K
D0230 Intraoral - periapical each additional radiographic image 26% 2,015 317 $4K
D0220 Intraoral - periapical first radiographic image 19% 439 352 $3K
D0274 Bitewings - four radiographic images 17% 206 172 $3K
D0150 Comprehensive oral evaluation - new or established patient 3.1% 20 17 $453.50
D0140 Limited oral evaluation - problem focused 2.0% 25 12 $294.03

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 (OWNER / CEO)
Same official

Other billing entities under ASHMORE, GLENN

Full network →

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