Dental
Dental Depot of 10004 South Memorial Drive PLLC
Dental Depot of 10004 South Memorial Drive PLLC was paid $5.17M by Medicaid between Oct 2021 and Dec 2024, across 38 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 23% of everything it billed.
33Billing provider infoDENTAL DEPOT OF 10004 SOUTH MEMORIAL DRIVE PLLC
OKLAHOMA CITY, OK 73107
OKLAHOMA CITY, OK 73107
33aNPI1699028597assigned 10/17/2012
33bProvider typeDentist
28Total paid$5.17M
24GClaims113,723
24DCodes billed38
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#4 of 150
Median peer was paid$154K
This provider vs. median34×
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 ASHMORE, GLENN controls 20+ 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 | |
|---|---|---|---|
| 2021 | 6,464 | $210K | |
| 2022 | 37,270 | $1.74M | |
| 2023 | 38,091 | $1.97M | |
| 2024incomplete | 31,898 | $1.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 23% | 9,231 | 2,657 | $1.18M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 3,775 | 1,849 | $561K |
| D5213 | 6.7% | 360 | 360 | $346K | |
| D5214 | 6.4% | 343 | 343 | $333K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 2,710 | 1,402 | $307K |
| D0330 | Panoramic radiographic image | 5.4% | 5,793 | 5,556 | $282K |
| D0274 | Bitewings - four radiographic images | 5.2% | 8,929 | 8,727 | $270K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 17,772 | 16,626 | $264K |
| D1110 | Prophylaxis - adult | 4.9% | 5,655 | 5,470 | $253K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 22,504 | 14,842 | $171K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 5,173 | 4,999 | $159K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 7,710 | 7,471 | $158K |
26 more codes
| D0140 | Limited oral evaluation - problem focused | 2.8% | 4,925 | $143K |
| D1120 | Dental cleaning, child | 2.7% | 4,734 | $141K |
| D1206 | Topical application of fluoride varnish | 2.0% | 5,698 | $104K |
| D7310 | 1.9% | 695 | $97K | |
| D2332 | 1.6% | 762 | $81K | |
| D2394 | 1.4% | 457 | $71K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,465 | $50K |
| D2335 | <1% | 381 | $45K | |
| D3221 | <1% | 282 | $33K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 81 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 426 | $29K |
| D5422 | <1% | 367 | $14K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 494 | $13K |
| D5421 | <1% | 288 | $11K | |
| D4341 | <1% | 50 | $8K | |
| D7250 | <1% | 35 | $4K | |
| D5410 | <1% | 110 | $4K | |
| D2954 | <1% | 21 | $3K | |
| D5411 | <1% | 52 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 143 | $2K |
| D0601 | <1% | 178 | $2K | |
| D3120 | <1% | 37 | $1K | |
| D0350 | <1% | 38 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $396.37 |
| D0602 | <1% | 24 | $219.60 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $219.48 |
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 officialASHMORE, GLENN (OWNER/PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.