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    OpenPayerNPI Medicare & MedicaidDental Depot Of I-44 & Harvard, PLLC
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    Dental Depot Of I-44 & Harvard, PLLC — Billing Profile & Reimbursement Data

    NPI 1548779135 · Tulsa, OK · Dentist

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    Dental Depot Of I-44 & Harvard, PLLC is a dentist provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 39 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDental Depot Of I-44 & Harvard, PLLC
    Address4770 S. Harvard Ave.
    CityTulsa
    StateOK
    ZIP74135
    TaxonomyDentist
    NPI EnumeratedSeptember 26, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, 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…8,050$130$1M
    D2393Resin-based composite, three surfaces, posterior3,190$160$510.6K
    D2392Post 2 surface resin‑based composite3,040$120$349.3K
    D0330N/A5,140$50$252K
    D0220Intraoral - periapical first radiographic image15,090$20$226.4K
    D0274N/A7,450$30$223.6K
    D0230Intraoral - periapical each additional radiographic image22,240$10$177.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,030$40$177.2K
    D5214N/A170$960$162.7K
    D0120Periodic oral evaluation - established patient7,350$20$154.4K

    Showing 1–10 of 39

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oklahoma median

    39 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, 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…8180450$120$188.3K
    D2392Post 2 surface resin‑based composite37330530$100$162.1K
    D2393Resin-based composite, three surfaces, posterior12190300$140$128.6K
    D5214N/A52040$950$98.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)236240280$70$91.8K
    D5213N/A51060$960$90.8K
    D5110N/A212040$740$81.9K
    D5130N/A183030$850$77.9K
    D1120Prophylaxis–child69470730$30$77.5K
    D0120Periodic oral evaluation - established patient54540910$20$61.2K

    Showing 1–10 of 39

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dental Depot Of I-44 & Harvard, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ray TateOKGeneral Practice Dentistry$14.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Dental Depot Of I-44 & Harvard, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    D & D Services IncOKNursing Care Agency$0$119.1M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKPediatrics Physician$0$43.2M
    Grand Lake Mental Health Center, Inc.OKCommunity/Behavioral Health Agency$0$38.5M
    Family & Children's Services, IncOKCommunity/Behavioral Health Agency$0$25.4M
    Creoks Mental Health ServicesOKCommunity/Behavioral Health Agency$0$17.3M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKInternal Medicine Physician$0$15.6M
    Osu Center For Health SciencesOKClinic/Center$0$11.4M
    Therapy 4 Kids IncOKPediatric Occupational Therapist$0$8.4M
    Life Senior Services, IncOKCase Management Agency$0$6.9M
    Counseling & Recovery Services Of Oklahoma, Inc.OKCommunity/Behavioral Health Agency$0$5.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Dental Depot Of I-44 & Harvard, PLLC — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma