DENTAL DEPOT OF MOORE, PLLC
NPI: 1831325570
· MOORE, OK 73160
· 1223G0001X
$2.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
4,208 |
$118K |
| 2022 |
21,058 |
$568K |
| 2023 |
20,034 |
$671K |
| 2024 |
21,772 |
$740K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,759 |
1,827 |
$304K |
| D7210 |
|
2,272 |
650 |
$282K |
| D2393 |
|
1,377 |
969 |
$214K |
| D0274 |
|
5,620 |
5,494 |
$166K |
| D0220 |
|
10,990 |
10,531 |
$160K |
| D1110 |
|
3,652 |
3,545 |
$160K |
| D0330 |
|
3,246 |
3,151 |
$155K |
| D0120 |
|
6,890 |
6,727 |
$140K |
| D1120 |
|
4,624 |
4,530 |
$135K |
| D0230 |
|
12,036 |
9,702 |
$89K |
| D0150 |
|
2,666 |
2,593 |
$80K |
| D1206 |
|
4,121 |
3,933 |
$75K |
| D1208 |
|
3,241 |
3,241 |
$46K |
| D9230 |
|
1,486 |
1,336 |
$40K |
| D0140 |
|
1,105 |
1,084 |
$32K |
| D3120 |
|
146 |
69 |
$4K |
| D0601 |
|
397 |
397 |
$4K |
| D7140 |
|
45 |
24 |
$3K |
| D2391 |
|
38 |
27 |
$2K |
| D2332 |
|
21 |
13 |
$2K |
| D1351 |
|
68 |
13 |
$2K |
| D0602 |
|
176 |
176 |
$2K |
| D0272 |
|
36 |
36 |
$622.20 |
| D0145 |
|
15 |
15 |
$457.35 |
| D0210 |
|
32 |
17 |
$395.73 |
| D0603 |
|
13 |
13 |
$118.95 |