Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTAL DEPOT OF SURPRISE, PLLC

NPI: 1912538497 · SURPRISE, AZ 85374 · Dental Clinic/Center · NPI assigned 02/03/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more

$32K
Total Medicaid Paid
3,227
Total Claims
2,279
Beneficiaries
12
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialASHMORE, GLENN (OWNER / CEO)
NPI Enumeration Date02/03/2020

Related Entities

Other providers sharing the same authorized official: ASHMORE, GLENN

ProviderCityStateTotal 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
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC OKLAHOMA CITY OK $3.41M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16 $0.00
2021 230 $1K
2022 635 $7K
2023 946 $8K
2024 1,400 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 566 477 $9K
D0220 Intraoral - periapical first radiographic image 1,001 825 $8K
D0230 Intraoral - periapical each additional radiographic image 1,264 650 $6K
D0330 Panoramic radiographic image 112 83 $3K
D1120 Prophylaxis - child 40 40 $1K
D0120 Periodic oral evaluation - established patient 53 52 $1K
D0140 Limited oral evaluation - problem focused 53 28 $923.85
D1208 Topical application of fluoride, excluding varnish 44 44 $703.20
D0150 Comprehensive oral evaluation - new or established patient 12 12 $505.32
D1110 Prophylaxis - adult 14 14 $401.22
D1206 Topical application of fluoride varnish 17 14 $247.80
D1999 51 40 $0.00