HEALTH SERVICES DISTRICT OF NORTHERN LARIMER COUNTY
NPI: 1073129912
· FORT COLLINS, CO 80524
· Dental Clinic/Center
· NPI assigned 09/16/2020
$381K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYWOOD, A (FINANCE DIRECTOR) |
| Parent Organization | HEALTH SERVICES DISTRICT OF NORTHERN LARIMER COUNTY |
| NPI Enumeration Date | 09/16/2020 |
Related Entities
Other providers sharing the same authorized official: HAYWOOD, A
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
987 |
$28K |
| 2019 |
1,892 |
$59K |
| 2020 |
680 |
$21K |
| 2021 |
2,145 |
$67K |
| 2022 |
2,382 |
$82K |
| 2023 |
2,677 |
$94K |
| 2024 |
1,041 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,577 |
3,574 |
$151K |
| D0120 |
Periodic oral evaluation - established patient |
3,860 |
3,856 |
$89K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
184 |
137 |
$24K |
| D0140 |
Limited oral evaluation - problem focused |
675 |
670 |
$23K |
| D4910 |
|
317 |
317 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,532 |
1,519 |
$19K |
| D0274 |
Bitewings - four radiographic images |
593 |
592 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
433 |
433 |
$17K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
74 |
52 |
$8K |
| D0190 |
|
383 |
383 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
38 |
38 |
$3K |
| D1206 |
Topical application of fluoride varnish |
123 |
123 |
$2K |
| D0270 |
|
15 |
15 |
$207.18 |