Medicaid Provider Spending

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

QUIRAM FAMILY DENTAL PROFESSIONAL LLC

NPI: 1073998100 · WESTMINSTER, CO 80234 · Dental Clinic/Center · NPI assigned 07/30/2015

$4K
Total Medicaid Paid
153
Total Claims
153
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialQUIRAM, PAUL (OWNER)
NPI Enumeration Date07/30/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 93 93 $2K
D1110 Prophylaxis - adult 47 47 $2K
D0274 Bitewings - four radiographic images 13 13 $365.82