Dental Depot of Broken Arrow, PLLC
Dental Depot of Broken Arrow, PLLC was paid $3.21M by Medicaid between Oct 2021 and Dec 2024, across 24 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 16% of everything it billed.
BROKEN ARROW, OK 74012
Next to other Dentist 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 | |
|---|---|---|---|
| 2021 | 6,758 | $180K | |
| 2022 | 27,767 | $818K | |
| 2023 | 31,076 | $1.06M | |
| 2024incomplete | 33,061 | $1.15M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 3,955 | 1,644 | $500K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 2,688 | 1,809 | $418K |
| D0330 | Panoramic radiographic image | 8.7% | 5,745 | 5,514 | $278K |
| D0274 | Bitewings - four radiographic images | 8.4% | 8,970 | 8,751 | $270K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 2,476 | 1,772 | $265K |
| D1110 | Prophylaxis - adult | 8.1% | 5,828 | 5,648 | $260K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 16,576 | 15,723 | $246K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 5,270 | 5,140 | $157K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 5,175 | 4,980 | $155K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 19,686 | 14,112 | $149K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 7,218 | 7,020 | $149K |
| D1206 | Topical application of fluoride varnish | 3.7% | 6,438 | 6,153 | $117K |
12 more codes
| D0140 | Limited oral evaluation - problem focused | 3.1% | 3,353 | $100K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 3,438 | $50K |
| D2394 | 1.4% | 262 | $46K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 705 | $19K |
| D3120 | <1% | 342 | $10K | |
| D2332 | <1% | 82 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 65 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 157 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 43 | $1K |
| D0602 | <1% | 95 | $869.25 | |
| D0601 | <1% | 76 | $695.40 | |
| D0272 | Bitewings - two radiographic images | <1% | 19 | $349.36 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.