DENTAL DEPOT OF BROKEN ARROW, PLLC
NPI: 1780001636
· BROKEN ARROW, OK 74012
· Dentist
$3.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
6,758 |
$180K |
| 2022 |
27,767 |
$818K |
| 2023 |
31,076 |
$1.06M |
| 2024 |
33,061 |
$1.15M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
3,955 |
1,644 |
$500K |
| D2393 |
|
2,688 |
1,809 |
$418K |
| D0330 |
|
5,745 |
5,514 |
$278K |
| D0274 |
|
8,970 |
8,751 |
$270K |
| D2392 |
|
2,476 |
1,772 |
$265K |
| D1110 |
|
5,828 |
5,648 |
$260K |
| D0220 |
|
16,576 |
15,723 |
$246K |
| D1120 |
|
5,270 |
5,140 |
$157K |
| D0150 |
|
5,175 |
4,980 |
$155K |
| D0230 |
|
19,686 |
14,112 |
$149K |
| D0120 |
|
7,218 |
7,020 |
$149K |
| D1206 |
|
6,438 |
6,153 |
$117K |
| D0140 |
|
3,353 |
3,195 |
$100K |
| D1208 |
|
3,438 |
3,438 |
$50K |
| D2394 |
|
262 |
209 |
$46K |
| D9230 |
|
705 |
642 |
$19K |
| D3120 |
|
342 |
184 |
$10K |
| D2332 |
|
82 |
48 |
$9K |
| D2391 |
|
65 |
50 |
$4K |
| D0210 |
|
157 |
86 |
$2K |
| D0145 |
|
43 |
38 |
$1K |
| D0602 |
|
95 |
95 |
$869.25 |
| D0601 |
|
76 |
76 |
$695.40 |
| D0272 |
|
19 |
14 |
$349.36 |