DENTAL DEPOT OF 145TH & N. PENN
NPI: 1922349026
· OKLAHOMA CITY, OK 73134
· 122300000X
$3.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
6,759 |
$212K |
| 2022 |
32,813 |
$1.03M |
| 2023 |
30,316 |
$1.06M |
| 2024 |
24,617 |
$867K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,269 |
2,952 |
$471K |
| D7210 |
|
3,815 |
1,481 |
$470K |
| D2393 |
|
1,817 |
1,382 |
$272K |
| D1110 |
|
6,019 |
5,857 |
$263K |
| D0220 |
|
15,433 |
14,777 |
$223K |
| D0274 |
|
7,376 |
7,243 |
$216K |
| D0330 |
|
4,335 |
4,151 |
$206K |
| D0120 |
|
9,268 |
9,036 |
$189K |
| D1120 |
|
5,709 |
5,591 |
$167K |
| D0230 |
|
16,040 |
13,202 |
$118K |
| D0150 |
|
3,199 |
3,124 |
$96K |
| D1206 |
|
5,119 |
4,860 |
$92K |
| D0140 |
|
2,822 |
2,751 |
$82K |
| D2394 |
|
506 |
410 |
$80K |
| D1208 |
|
4,819 |
4,812 |
$69K |
| D9230 |
|
2,203 |
2,039 |
$59K |
| D5214 |
|
28 |
28 |
$28K |
| D7140 |
|
345 |
195 |
$23K |
| D2930 |
|
86 |
66 |
$10K |
| D3120 |
|
340 |
262 |
$10K |
| D3240 |
|
83 |
64 |
$9K |
| D0272 |
|
416 |
414 |
$7K |
| D0601 |
|
253 |
253 |
$2K |
| D3221 |
|
17 |
12 |
$2K |
| D0210 |
|
65 |
36 |
$926.52 |
| D0602 |
|
96 |
96 |
$878.40 |
| D0145 |
|
13 |
13 |
$396.50 |
| D0603 |
|
14 |
14 |
$128.10 |