Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL DEPOT ORTHODONTICS DEL CITY, PLLC

NPI: 1659157691 · DEL CITY, OK 73115 · General Practice Dentistry · NPI assigned 09/06/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ZISSA, GAYLON controls 13+ related entities in our dataset. Read more

$21K
Total Medicaid Paid
451
Total Claims
391
Beneficiaries
3
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZISSA, GAYLON (DIRECTOR OF PROVIDER RELATIONS)
NPI Enumeration Date09/06/2023

Related Entities

Other providers sharing the same authorized official: ZISSA, GAYLON

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 451 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0340 217 190 $13K
D0350 193 174 $6K
D9310 41 27 $2K