Dental Depot of Mustang, PLLC
Dental Depot of Mustang, PLLC was paid $5K by Medicaid between Nov 2024 and Dec 2024, across 6 billing codes. Its largest line is D0330, Panoramic radiographic image — 28% of everything it billed.
OKLAHOMA CITY, OK 73099
Next to other Dental Clinic/Center providers in Oklahoma
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 223 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 28% | 30 | 30 | $1K |
| D0274 | Bitewings - four radiographic images | 21% | 35 | 35 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 32 | 32 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 48 | 47 | $736.43 |
| D1206 | Topical application of fluoride varnish | 10% | 28 | 28 | $523.22 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.4% | 50 | 45 | $384.16 |
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.
Who's on the registration
| 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 Orthodontics Del City, PLLC | Del City, OK | $21K |
| Dental Depot of Blue Springs PLLC | Blue Springs, MO | $21K |
| Dental Depot of Independence, PLLC | Independence, MO | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.