JACKSON CREEK DENTAL CARE, P.C.
NPI: 1013163351
· MONUMENT, CO 80132
· Dentist
· NPI assigned 08/18/2008
$487.32
Total Medicaid Paid
Provider Details
| Authorized Official | NITTINGER, RACHEL (MANAGER CREDENTIALING3) |
| Parent Organization | DENTALONE PARTNERS, INC |
| NPI Enumeration Date | 08/18/2008 |
Related Entities
Other providers sharing the same authorized official: NITTINGER, RACHEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
12 |
$487.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$487.32 |