DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC
NPI: 1861058877
· OKLAHOMA CITY, OK 73116
· 261QD0000X
$3.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
6,496 |
$225K |
| 2022 |
28,395 |
$989K |
| 2023 |
27,479 |
$1.10M |
| 2024 |
27,176 |
$1.10M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
6,168 |
2,161 |
$766K |
| D2393 |
|
2,494 |
1,642 |
$390K |
| D2392 |
|
2,808 |
1,891 |
$316K |
| D1110 |
|
5,755 |
5,607 |
$256K |
| D0330 |
|
4,856 |
4,676 |
$232K |
| D0274 |
|
7,495 |
7,368 |
$224K |
| D0220 |
|
13,996 |
13,332 |
$206K |
| D0120 |
|
6,772 |
6,622 |
$140K |
| D0230 |
|
16,241 |
12,100 |
$122K |
| D1120 |
|
4,091 |
3,992 |
$121K |
| D0150 |
|
3,667 |
3,548 |
$110K |
| D0140 |
|
3,263 |
3,189 |
$98K |
| D1206 |
|
5,015 |
4,789 |
$91K |
| D2394 |
|
518 |
371 |
$90K |
| D1208 |
|
3,225 |
3,225 |
$47K |
| D9230 |
|
1,473 |
1,363 |
$40K |
| D2150 |
|
395 |
279 |
$36K |
| D2160 |
|
217 |
154 |
$25K |
| D5214 |
|
26 |
26 |
$25K |
| D7140 |
|
335 |
157 |
$23K |
| D4341 |
|
134 |
91 |
$20K |
| D5213 |
|
14 |
14 |
$13K |
| D7310 |
|
48 |
27 |
$6K |
| D3120 |
|
151 |
97 |
$5K |
| D2161 |
|
14 |
13 |
$2K |
| D0601 |
|
145 |
145 |
$1K |
| D0210 |
|
92 |
51 |
$1K |
| D5410 |
|
29 |
25 |
$1K |
| D0272 |
|
51 |
51 |
$878.14 |
| D0602 |
|
58 |
58 |
$530.70 |