Dental
Dental Depot Orthodontics Del City, PLLC
Dental Depot Orthodontics Del City, PLLC was paid $21K by Medicaid between Feb 2024 and Nov 2024, across 3 billing codes. Its largest line is D0340, — 63% of everything it billed.
33Billing provider infoDENTAL DEPOT ORTHODONTICS DEL CITY, PLLC
DEL CITY, OK 73115
DEL CITY, OK 73115
33aNPI1659157691assigned 09/06/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$21K
24GClaims451
24DCodes billed3
24AFirst – last monthFeb 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#211 of 284
Median peer was paid$172K
This provider vs. median0.1×
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
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 | |
|---|---|---|---|
| 2024incomplete | 451 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0340 | 63% | 217 | 190 | $13K | |
| D0350 | 28% | 193 | 174 | $6K | |
| D9310 | 9.5% | 41 | 27 | $2K |
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 OF PROVIDER RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Dental Depot South | Oklahoma City, OK | $3.40M |
| 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 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.