Clinic
Dental Depot of 63RD & NW Expressway, PLLC
Dental Depot of 63RD & NW Expressway, PLLC was paid $3.41M by Medicaid between Oct 2021 and Dec 2024, across 30 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 22% of everything it billed.
33Billing provider infoDENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC
OKLAHOMA CITY, OK 73116
OKLAHOMA CITY, OK 73116
33aNPI1861058877assigned 05/15/2019
33bProvider typeDental Clinic/Center
28Total paid$3.41M
24GClaims89,546
24DCodes billed30
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#5 of 112
Median peer was paid$86K
This provider vs. median40×
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
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 | 6,496 | $225K | |
| 2022 | 28,395 | $989K | |
| 2023 | 27,479 | $1.10M | |
| 2024incomplete | 27,176 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 22% | 6,168 | 2,161 | $766K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 2,494 | 1,642 | $390K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 2,808 | 1,891 | $316K |
| D1110 | Prophylaxis - adult | 7.5% | 5,755 | 5,607 | $256K |
| D0330 | Panoramic radiographic image | 6.8% | 4,856 | 4,676 | $232K |
| D0274 | Bitewings - four radiographic images | 6.6% | 7,495 | 7,368 | $224K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 13,996 | 13,332 | $206K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 6,772 | 6,622 | $140K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 16,241 | 12,100 | $122K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 4,091 | 3,992 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 3,667 | 3,548 | $110K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 3,263 | 3,189 | $98K |
18 more codes
| D1206 | Topical application of fluoride varnish | 2.7% | 5,015 | $91K |
| D2394 | 2.6% | 518 | $90K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 3,225 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 1,473 | $40K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.1% | 395 | $36K |
| D2160 | <1% | 217 | $25K | |
| D5214 | <1% | 26 | $25K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 335 | $23K |
| D4341 | <1% | 134 | $20K | |
| D5213 | <1% | 14 | $13K | |
| D7310 | <1% | 48 | $6K | |
| D3120 | <1% | 151 | $5K | |
| D2161 | <1% | 14 | $2K | |
| D0601 | <1% | 145 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 92 | $1K |
| D5410 | <1% | 29 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 51 | $878.14 |
| D0602 | <1% | 58 | $530.70 |
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)
| Provider | Location | Paid |
|---|---|---|
| DR Glenn a Ashmore INC | Okc, OK | $6.19M |
| Dental Depot of 10004 South Memorial Drive PLLC | Oklahoma City, OK | $5.17M |
| Glenn C. Ashmore DDS, INC. | San Diego, CA | $5.05M |
| Dental Depot Southern Hills 71ST & Jackson | Tulsa, OK | $4.27M |
| Dental Depot of Tulsa | Tulsa, OK | $4.24M |
| Dental Depot of I-44 & Harvard, PLLC | Tulsa, OK | $4.14M |
| Dental Depot of Norman, PLLC | Norman, OK | $3.92M |
| Ashmore Dental Corporation | San Diego, CA | $3.65M |
| Dental Depot 62ND & South Western PLLC | Oklahoma City, OK | $3.46M |
| Glenn Casey Ashmore Dental Corp. | San Diego, CA | $3.35M |
| Dental Depot of Broken Arrow, PLLC | Broken Arrow, OK | $3.21M |
| Dental Depot of 145TH & N. Penn | Oklahoma City, OK | $3.17M |
| Dentl Depot Reno and Rockwell, PLLC | Oklahoma City, OK | $3.10M |
| G.C. Ashmore Dental Corp. | San Diego, CA | $2.90M |
| Dental Depot of 36TH & Tecumseh, PLLC | Norman, OK | $1.64M |
| G. Ashmore Dental Corp. | San Diego, CA | $895K |
| Gca Ashmore Dental Corp | Escondido, CA | $792K |
| C. Ashmore Dental Corp. | San Diego, CA | $186K |
| Arthurs Dental of Phoenix PLLC | Phoenix, AZ | $42K |
| Dental Depot of Surprise, PLLC | Surprise, AZ | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.