Medicaid Provider Spending

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

ELITE DENTAL GROUP THORNTON, PLLC

NPI: 1043944523 · THORNTON, CO 80229 · Dental Clinic/Center · NPI assigned 07/12/2022

$40K
Total Medicaid Paid
1,303
Total Claims
1,271
Beneficiaries
10
Codes Billed
2022-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJUNG, KYU (PRESIDENT/DENTIST)
NPI Enumeration Date07/12/2022

Related Entities

Other providers sharing the same authorized official: JUNG, KYU

ProviderCityStateTotal Paid
ELITE DENTAL GROUP SE CO SPRINGS INC COLORADO SPRINGS CO $107K
ELITE DENTAL GROUP LAKEWOOD INC LAKEWOOD CO $49K
ELITE DENTAL GROUP AURORA INC AURORA CO $47K
ELITE DENTAL GROUP CO SPRINGS INC COLORADO SPRINGS CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 125 $4K
2023 835 $26K
2024 343 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 285 283 $11K
D1110 Prophylaxis - adult 207 207 $10K
D0330 Panoramic radiographic image 106 106 $6K
D0220 Intraoral - periapical first radiographic image 416 388 $5K
D0120 Periodic oral evaluation - established patient 110 110 $3K
D0274 Bitewings - four radiographic images 70 70 $2K
D0140 Limited oral evaluation - problem focused 39 37 $1K
D1206 Topical application of fluoride varnish 25 25 $450.24
D0230 Intraoral - periapical each additional radiographic image 31 31 $445.65
D0210 Intraoral - complete series of radiographic images 14 14 $391.02