Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dental Depot of 145TH & N. Penn

Dental Depot of 145TH & N. Penn was paid $3.17M by Medicaid between Oct 2021 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.

33Billing provider infoDENTAL DEPOT OF 145TH & N. PENN
OKLAHOMA CITY, OK 73134
33aNPI1922349026assigned 03/14/2013
33bProvider typeDentist
28Total paid$3.17M
24GClaims94,505
24DCodes billed28
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#9 of 150
Median peer was paid$154K
This provider vs. median21×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20216,759$212K
202232,813$1.03M
202330,316$1.06M
2024incomplete24,617$867K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 4,269 2,952 $471K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 15% 3,815 1,481 $470K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 8.6% 1,817 1,382 $272K
D1110 Prophylaxis - adult 8.3% 6,019 5,857 $263K
D0220 Intraoral - periapical first radiographic image 7.0% 15,433 14,777 $223K
D0274 Bitewings - four radiographic images 6.8% 7,376 7,243 $216K
D0330 Panoramic radiographic image 6.5% 4,335 4,151 $206K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.0% 9,268 9,036 $189K
D1120 Dental cleaning, childProphylaxis - child 5.3% 5,709 5,591 $167K
D0230 Intraoral - periapical each additional radiographic image 3.7% 16,040 13,202 $118K
D0150 Comprehensive oral evaluation - new or established patient 3.0% 3,199 3,124 $96K
D1206 Topical application of fluoride varnish 2.9% 5,119 4,860 $92K
16 more codes
D0140 Limited oral evaluation - problem focused 2.6% 2,822 $82K
D2394 2.5% 506 $80K
D1208 Topical application of fluoride, excluding varnish 2.2% 4,819 $69K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.9% 2,203 $59K
D5214 <1% 28 $28K
D7140 Extraction, erupted tooth or exposed root <1% 345 $23K
D2930 Prefabricated stainless steel crown - primary tooth <1% 86 $10K
D3120 <1% 340 $10K
D3240 <1% 83 $9K
D0272 Bitewings - two radiographic images <1% 416 $7K
D0601 <1% 253 $2K
D3221 <1% 17 $2K
D0210 Intraoral - complete series of radiographic images <1% 65 $926.52
D0602 <1% 96 $878.40
D0145 Oral evaluation for a patient under three years of age <1% 13 $396.50
D0603 <1% 14 $128.10

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)
Same official

Other billing entities under ASHMORE, GLENN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.