Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Oklahoma City › NPI 1790108900
Dental

Dental Depot Orthodontics Central Okc PLLC

Dental Depot Orthodontics Central Okc PLLC was paid $3.31M by Medicaid between Mar 2018 and Dec 2024, across 6 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 90% of everything it billed.

33Billing provider infoDENTAL DEPOT ORTHODONTICS CENTRAL OKC PLLC
OKLAHOMA CITY, OK 73116
33aNPI1790108900assigned 01/23/2014
28Total paid$3.31M
24GClaims9,578
24DCodes billed6
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Oklahoma

Rank by total paid#6 of 37
Median peer was paid$612K
This provider vs. median5.4×

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 ZISSA, GAYLON controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
201898$35K
20191,230$292K
20201,821$476K
20211,786$598K
20221,449$689K
20231,742$731K
2024incomplete1,452$493K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 90% 2,516 2,485 $2.98M
D0340 5.7% 3,134 3,065 $190K
D0350 2.4% 2,635 2,584 $80K
D0330 Panoramic radiographic image <1% 581 573 $28K
D9310 <1% 559 557 $27K
D0470 <1% 153 153 $6K

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 officialZISSA, GAYLON (DIRECTOR)
Parent organizationGLENN A ASHMORE DDS INC
Same official

Other billing entities under ZISSA, GAYLON

Full network →

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