Medicaid Provider Spending

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

DENTAL DEPOT ORTHODONTICS NORTH OKC PLLC

NPI: 1730502519 · OKLAHOMA CITY, OK 73134 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 01/29/2014

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

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

$1.22M
Total Medicaid Paid
4,506
Total Claims
4,365
Beneficiaries
5
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZISSA, GAYLON (DIRECTOR)
Parent OrganizationDENTAL DEPOT OF 145TH AND PENN PLLC
NPI Enumeration Date01/29/2014

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 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
DENTAL DEPOT OF MUSTANG, PLLC OKLAHOMA CITY OK $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 240 $55K
2022 1,871 $482K
2023 1,486 $486K
2024 909 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 891 873 $1.05M
D0340 1,200 1,146 $73K
D9310 956 934 $47K
D0350 1,180 1,133 $36K
D0330 Panoramic radiographic image 279 279 $14K