Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

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.

33Billing provider infoDENTAL DEPOT OF BROKEN ARROW, PLLC
BROKEN ARROW, OK 74012
33aNPI1780001636assigned 03/27/2014
33bProvider typeDentist
28Total paid$3.21M
24GClaims98,662
24DCodes billed24
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#8 of 150
Median peer was paid$154K
This provider vs. median21×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20216,758$180K
202227,767$818K
202331,076$1.06M
2024incomplete33,061$1.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialASHMORE, GLENN (OWNER / PRESIDENT)
Same official

Other billing entities under ASHMORE, GLENN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.