Dental
Dental Depot of Moore, PLLC
Dental Depot of Moore, PLLC was paid $2.10M by Medicaid between Oct 2021 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoDENTAL DEPOT OF MOORE, PLLC
MOORE, OK 73160
MOORE, OK 73160
33aNPI1831325570assigned 06/09/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2.10M
24GClaims67,072
24DCodes billed26
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#34 of 284
Median peer was paid$172K
This provider vs. median12×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 4,208 | $118K | |
| 2022 | 21,058 | $568K | |
| 2023 | 20,034 | $671K | |
| 2024incomplete | 21,772 | $740K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,759 | 1,827 | $304K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 2,272 | 650 | $282K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 1,377 | 969 | $214K |
| D0274 | Bitewings - four radiographic images | 7.9% | 5,620 | 5,494 | $166K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 10,990 | 10,531 | $160K |
| D1110 | Prophylaxis - adult | 7.6% | 3,652 | 3,545 | $160K |
| D0330 | Panoramic radiographic image | 7.4% | 3,246 | 3,151 | $155K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 6,890 | 6,727 | $140K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 4,624 | 4,530 | $135K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 12,036 | 9,702 | $89K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 2,666 | 2,593 | $80K |
| D1206 | Topical application of fluoride varnish | 3.6% | 4,121 | 3,933 | $75K |
14 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 3,241 | $46K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 1,486 | $40K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 1,105 | $32K |
| D3120 | <1% | 146 | $4K | |
| D0601 | <1% | 397 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 45 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 38 | $2K |
| D2332 | <1% | 21 | $2K | |
| D1351 | Sealant - per tooth | <1% | 68 | $2K |
| D0602 | <1% | 176 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 36 | $622.20 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $457.35 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 32 | $395.73 |
| D0603 | <1% | 13 | $118.95 |
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 officialPOGSON, BRYSON (DIR. OF BUSINESS DEVELOPMENT)
| Provider | Location | Paid |
|---|---|---|
| MT Lincoln PLLC | Yukon, OK | $2.82M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.