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 · Dentist · NPI assigned 10/17/2012

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

Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more

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

Provider Details

Authorized OfficialASHMORE, GLENN (OWNER/PRESIDENT)
NPI Enumeration Date10/17/2012

Related Entities

Other providers sharing the same authorized official: ASHMORE, GLENN

ProviderCityStateTotal Paid
DR GLENN A ASHMORE INC OKC OK $6.19M
GLENN C. ASHMORE DDS, INC. SAN DIEGO CA $5.05M
DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON TULSA OK $4.27M
DENTAL DEPOT OF TULSA TULSA OK $4.24M
DENTAL DEPOT OF I-44 & HARVARD, PLLC TULSA OK $4.14M
DENTAL DEPOT OF NORMAN, PLLC NORMAN OK $3.92M
ASHMORE DENTAL CORPORATION SAN DIEGO CA $3.65M
DENTAL DEPOT 62ND & SOUTH WESTERN PLLC OKLAHOMA CITY OK $3.46M
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC OKLAHOMA CITY OK $3.41M
GLENN CASEY ASHMORE DENTAL CORP. SAN DIEGO CA $3.35M
DENTAL DEPOT OF BROKEN ARROW, PLLC BROKEN ARROW OK $3.21M
DENTAL DEPOT OF 145TH & N. PENN OKLAHOMA CITY OK $3.17M
DENTL DEPOT RENO AND ROCKWELL, PLLC OKLAHOMA CITY OK $3.10M
G.C. ASHMORE DENTAL CORP. SAN DIEGO CA $2.90M
DENTAL DEPOT OF 36TH & TECUMSEH, PLLC NORMAN OK $1.64M
G. ASHMORE DENTAL CORP. SAN DIEGO CA $895K
GCA ASHMORE DENTAL CORP ESCONDIDO CA $792K
C. ASHMORE DENTAL CORP. SAN DIEGO CA $186K
ARTHURS DENTAL OF PHOENIX PLLC PHOENIX AZ $42K
DENTAL DEPOT OF SURPRISE, PLLC SURPRISE AZ $32K

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 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 9,231 2,657 $1.18M
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3,775 1,849 $561K
D5213 360 360 $346K
D5214 343 343 $333K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,710 1,402 $307K
D0330 Panoramic radiographic image 5,793 5,556 $282K
D0274 Bitewings - four radiographic images 8,929 8,727 $270K
D0220 Intraoral - periapical first radiographic image 17,772 16,626 $264K
D1110 Prophylaxis - adult 5,655 5,470 $253K
D0230 Intraoral - periapical each additional radiographic image 22,504 14,842 $171K
D0150 Comprehensive oral evaluation - new or established patient 5,173 4,999 $159K
D0120 Periodic oral evaluation - established patient 7,710 7,471 $158K
D0140 Limited oral evaluation - problem focused 4,925 4,576 $143K
D1120 Prophylaxis - child 4,734 4,561 $141K
D1206 Topical application of fluoride varnish 5,698 5,350 $104K
D7310 695 398 $97K
D2332 762 347 $81K
D2394 457 305 $71K
D1208 Topical application of fluoride, excluding varnish 3,465 3,465 $50K
D2335 381 166 $45K
D3221 282 184 $33K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 81 67 $32K
D7140 Extraction, erupted tooth or exposed root 426 184 $29K
D5422 367 324 $14K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 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 Intraoral - complete series of radiographic images 143 70 $2K
D0601 178 178 $2K
D3120 37 25 $1K
D0350 38 31 $1K
D0145 Oral evaluation for a patient under three years of age 13 12 $396.37
D0602 24 24 $219.60
D0272 Bitewings - two radiographic images 12 12 $219.48