Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › COLORADO SPRINGS › PERFECT TEETH - CHEYENNE MEADOWS P.C.

PERFECT TEETH - CHEYENNE MEADOWS P.C.

NPI: 1083734990 · COLORADO SPRINGS, CO 80906 · General Practice Dentistry · NPI assigned 04/02/2007

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

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$65K
Total Medicaid Paid
1,034
Total Claims
903
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialSUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date04/02/2007

Related Entities

Other providers sharing the same authorized official: SUMMERS, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH - GARDEN OF THE GODS P.C. COLORADO SPRINGS CO $151K
PERFECT TEETH - CASTLE ROCK P.C. CASTLE ROCK CO $143K
PERFECT TEETH - 88TH & WADSWORTH P.C. ARVADA CO $119K
PERFECT TEETH - MONACO AND EVANS P.C. DENVER CO $119K
PERFECT TEETH - SMOKY HILL P.C. CENTENNIAL CO $52K
PERFECT TEETH - YALE P.C. DENVER CO $29K
PERFECT TEETH - EAST 104TH AVENUE P.C. THORNTON CO $26K
PERFECT TEETH - PACE P.C. LONGMONT CO $23K
MISSISSIPPI DENTAL GROUP P.C. AURORA CO $20K
PERFECT TEETH - WEST 120TH AVENUE P.C. BROOMFIELD CO $16K
PERFECT TEETH - WOODMAN VALLEY P.C. COLORADO SPRINGS CO $14K
PERFECT TEETH - LONGMONT P.C. LONGMONT CO $12K
PERFECT TEETH - LEETSDALE P.C. DENVER CO $7K
PERFECT TEETH - SOUTH HOLLY STREET P.C. CENTENNIAL CO $6K
PERFECT TEETH - LOVELAND P.C. LOVELAND CO $4K
PERFECT TEETH - BUCKLEY & QUINCY P.C. AURORA CO $4K
PERFECT TEETH - PLAZA DEL SOL P.C. SANTA FE NM $3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C. ARVADA CO $2K
PERFECT TEETH - ARAPAHOE P.C. CENTENNIAL CO $522.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 810 $59K
2019 184 $5K
2020 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 145 74 $20K
D0150 Comprehensive oral evaluation - new or established patient 334 332 $13K
D0210 Intraoral - complete series of radiographic images 145 143 $11K
D4342 69 26 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 36 27 $6K
D1110 Prophylaxis - adult 141 141 $6K
D0330 Panoramic radiographic image 33 33 $2K
D0220 Intraoral - periapical first radiographic image 85 81 $1K
D0120 Periodic oral evaluation - established patient 31 31 $693.59
D0140 Limited oral evaluation - problem focused 15 15 $497.10