Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › DENVER › MILE HIGH SMILES PLLC

MILE HIGH SMILES PLLC

NPI: 1023576501 · DENVER, CO 80219 · Dental Clinic/Center · NPI assigned 03/04/2019

$30K
Total Medicaid Paid
480
Total Claims
478
Beneficiaries
6
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, ERIC (OWNER)
NPI Enumeration Date03/04/2019

Related Entities

Other providers sharing the same authorized official: JOHNSON, ERIC

ProviderCityStateTotal Paid
NORTHERN HUMAN SERVICES CONWAY NH $64.82M
CITY OF BETHEL BETHEL AK $686K
DULUTHTMS, LLC DULUTH MN $229K
ERIC E JOHNSON MD PC PLYMOUTH MA $47K
EYE HEALTH SERVICES, INC SOUTH YARMOUTH MA $42K
SOUTHEAST IDAHO ORTHODONTICS, PLLC POCATELLO ID $39K
RESNIK MEDICAL ASSOCIATES PC PLYMOUTH MA $11K
ERIC JOHNSON LLC THORNTON CO $11K
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC PROVO UT $7K
MAYFLOWER MEDICAL ASSOCIATES PC PLYMOUTH MA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $328.20
2021 101 $4K
2022 47 $2K
2023 180 $7K
2024 137 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 57 56 $12K
D0150 Comprehensive oral evaluation - new or established patient 151 151 $7K
D1110 Prophylaxis - adult 145 145 $6K
D0160 30 29 $2K
D0120 Periodic oral evaluation - established patient 84 84 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $1K