Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL DEPOT ORTHODONTICS TECUMSEH, PLLC

NPI: 1932822350 · NORMAN, OK 73072 · Dental Clinic/Center · NPI assigned 09/21/2022

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

Authorized official ZISSA, GAYLON controls 13+ related entities in our dataset. Read more

$107K
Total Medicaid Paid
877
Total Claims
832
Beneficiaries
4
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZISSA, GAYLON (DIRECTOR OF PROVIDER RELATIONS)
NPI Enumeration Date09/21/2022

Related Entities

Other providers sharing the same authorized official: ZISSA, GAYLON

ProviderCityStateTotal Paid
DENTAL DEPOT SOUTH OKLAHOMA CITY OK $3.40M
DENTAL DEPOT ORTHODONTICS CENTRAL OKC PLLC OKLAHOMA CITY OK $3.31M
DENTAL DEPOT ORTHODONTICS SOUTH PLLC OKLAHOMA CITY OK $2.53M
DENTAL DEPOT OF I-44 & GARNETT, PLLC TULSA OK $1.34M
DENTAL DEPOT ORTHODONTICS NORTH OKC PLLC OKLAHOMA CITY OK $1.22M
DENTAL DEPOT ORTHODONTICS YUKON PLLC YUKON OK $1.04M
DENTAL DEPOT OF 164TH & PORTLAND PLLC OKLAHOMA CITY OK $546K
DENTAL DEPOT OF DEL CITY, PLLC DEL CITY OK $438K
DENTAL DEPOT OF ARLINGTON PLLC ARLINGTON TX $31K
DENTAL DEPOT ORTHODONTICS DEL CITY, PLLC DEL CITY OK $21K
DENTAL DEPOT OF BLUE SPRINGS PLLC BLUE SPRINGS MO $21K
DENTAL DEPOT OF INDEPENDENCE, PLLC INDEPENDENCE MO $6K
DENTAL DEPOT OF MUSTANG, PLLC OKLAHOMA CITY OK $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 443 $21K
2024 434 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 54 54 $68K
D0340 366 351 $22K
D0350 309 293 $9K
D9310 148 134 $7K