Medicaid Provider Spending

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

MODERN DENTAL PROFESSIONALS COLORADO PC

NPI: 1083095194 · COLORADO SPRINGS, CO 80920 · General Practice Dentistry · NPI assigned 06/15/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MELLOR, CRAIG controls 12+ related entities in our dataset. Read more

$44K
Total Medicaid Paid
973
Total Claims
934
Beneficiaries
9
Codes Billed
2018-03
First Month
2022-10
Last Month

Provider Details

Authorized OfficialMELLOR, CRAIG (PC OWNER)
Parent OrganizationMODERN DENTAL PROFESSIONALS COLORADO PC
NPI Enumeration Date06/15/2015

Related Entities

Other providers sharing the same authorized official: MELLOR, CRAIG

ProviderCityStateTotal Paid
MODERN DENTAL PROFESSIONALS CO PC THORNTON CO $360K
MODERN DENTAL PROFESIONALS CO PC CASTLE ROCK CO $197K
MODERN DENTAL PROFESSIONALS CO PC AURORA CO $152K
MODERN DENTAL PROFESSIONALS CO PC LONGMONT CO $72K
MODERN DENTAL PROFESSIONALS CO PC ARVADA CO $65K
MODERN DENTAL PROFESSIONALS CO PC WESTMINSTER CO $39K
MODERN DENTAL PROFESSIONALS CO PC PARKER CO $35K
MODERN DENTAL PROFESSIONALS CO PC LAKEWOOD CO $20K
MODERN DENTAL PROFESSIONALS CO PC FORT COLLINS CO $17K
MODERN DENTAL PROFESSIONALS CO PC COLORADO SPRINGS CO $7K
MODERN DENTAL PROFESSIONALS CO PC DENVER CO $2K
MODERN DENTAL PROFESSIONALS CO PC HIGHLANDS RANCH CO $792.21

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $3K
2019 124 $5K
2020 311 $15K
2021 314 $16K
2022 120 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 341 333 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 70 42 $9K
D0210 Intraoral - complete series of radiographic images 65 65 $5K
D1110 Prophylaxis - adult 111 111 $4K
D0330 Panoramic radiographic image 88 88 $4K
D0274 Bitewings - four radiographic images 122 122 $4K
D0140 Limited oral evaluation - problem focused 83 82 $3K
D0120 Periodic oral evaluation - established patient 38 38 $857.99
D0220 Intraoral - periapical first radiographic image 55 53 $661.10