Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dental Depot 62nd & South Western PLLC (NPI 1003196239)

Field	Value
Entity Type	Organization
Organization	Dental Depot 62nd & South Western PLLC
Address	6217 S Western Ave
City	Oklahoma City
State	OK
ZIP	73139
Taxonomy	General Practice Dentistry
NPI Enumerated	August 19, 2011

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	3,640	$120	$429.8K
D2392	Post 2 surface resin‑based composite	3,640	$110	$396.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,050	$50	$317.3K
D0220	Intraoral - periapical first radiographic image	18,010	$20	$270.2K
D0274	N/A	8,830	$30	$264.8K
D0120	Periodic oral evaluation - established patient	12,390	$20	$260.1K
D1120	Prophylaxis–child	8,300	$30	$249K
D0330	N/A	5,070	$50	$243.5K
D2393	Resin-based composite, three surfaces, posterior	1,370	$150	$206.9K
D0230	Intraoral - periapical each additional radiographic image	19,970	$10	$159.8K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

Dental Depot 62nd & South Western PLLC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	25	180	450	$120	$188.3K
D2392	Post 2 surface resin‑based composite	31	330	530	$100	$162.1K
D2393	Resin-based composite, three surfaces, posterior	39	190	300	$140	$128.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	166	240	280	$70	$91.8K
D1120	Prophylaxis–child	35	470	730	$30	$77.5K
D0120	Periodic oral evaluation - established patient	31	540	910	$20	$61.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15	480	530	$40	$57.4K
D0330	N/A	22	420	360	$50	$49.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32	380	1,000	$20	$45.7K
D2150	Amalgam - two surfaces, primary or permanent	10	40	210	$90	$45.2K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dental Depot 62nd & South Western PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ray Tate	OK	General Practice Dentistry	$14.2K	$0

Nearby Providers

Other providers in the same ZIP code as Dental Depot 62nd & South Western PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$53.3M
Ace Hts, Inc	OK	Developmentally Disabled Services Day Training Agency	$0	$29.9M
Hope Community Services, Inc.	OK	Community/Behavioral Health Agency	$0	$16.1M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$5M
New Life Youth's & Family Counseling Services, Inc	OK	Community/Behavioral Health Agency	$0	$3.5M
Dental Depot South	OK	General Practice Dentistry	$0	$3.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$3.1M
Oklahoma Center For Orthopaedic & Multi-specialty Surgery, LLC	OK	General Acute Care Hospital	$0	$2.8M
Empowerment Community Services	OK	Community/Behavioral Health Agency	$0	$2.6M
Dental Depot Orthodontics South PLLC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.5M

Dental Depot 62nd & South Western PLLC — Billing Profile & Reimbursement Data

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Dental Depot 62nd & South Western PLLC — Billing Profile & Reimbursement Data

Sign up for Dental Depot 62nd & South Western PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References