Medicaid Provider Spending

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

DENTAL DEPOT OF 10004 SOUTH MEMORIAL DRIVE PLLC

NPI: 1699028597 · OKLAHOMA CITY, OK 73107 · 122300000X

$5.17M
Total Medicaid Paid
113,723
Total Claims
91,485
Beneficiaries
38
Codes Billed
2021-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 6,464 $210K
2022 37,270 $1.74M
2023 38,091 $1.97M
2024 31,898 $1.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 9,231 2,657 $1.18M
D2393 3,775 1,849 $561K
D5213 360 360 $346K
D5214 343 343 $333K
D2392 2,710 1,402 $307K
D0330 5,793 5,556 $282K
D0274 8,929 8,727 $270K
D0220 17,772 16,626 $264K
D1110 5,655 5,470 $253K
D0230 22,504 14,842 $171K
D0150 5,173 4,999 $159K
D0120 7,710 7,471 $158K
D0140 4,925 4,576 $143K
D1120 4,734 4,561 $141K
D1206 5,698 5,350 $104K
D7310 695 398 $97K
D2332 762 347 $81K
D2394 457 305 $71K
D1208 3,465 3,465 $50K
D2335 381 166 $45K
D3221 282 184 $33K
D3330 81 67 $32K
D7140 426 184 $29K
D5422 367 324 $14K
D9230 494 455 $13K
D5421 288 259 $11K
D4341 50 29 $8K
D7250 35 13 $4K
D5410 110 91 $4K
D2954 21 12 $3K
D5411 52 45 $2K
D0210 143 70 $2K
D0601 178 178 $2K
D3120 37 25 $1K
D0350 38 31 $1K
D0145 13 12 $396.37
D0602 24 24 $219.60
D0272 12 12 $219.48