NPI: 1104162452 · DURANGO, CO 81303 · Dental Clinic/Center · NPI assigned 12/13/2012
Authorized official JOHNSON, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 12/13/2012 |
Other providers sharing the same authorized official: JOHNSON, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,217 | $535K |
| 2019 | 3,130 | $390K |
| 2020 | 3,010 | $402K |
| 2021 | 2,613 | $347K |
| 2022 | 1,815 | $238K |
| 2023 | 1,564 | $217K |
| 2024 | 970 | $124K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 1,621 | 639 | $443K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2,667 | 1,159 | $427K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2,513 | 2,396 | $423K |
| D7230 | 1,515 | 786 | $351K | |
| D9222 | 2,486 | 2,395 | $260K | |
| D7140 | Extraction, erupted tooth or exposed root | 1,151 | 175 | $114K |
| D0330 | Panoramic radiographic image | 2,073 | 2,023 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,329 | 2,264 | $91K |
| D9219 | 746 | 716 | $29K | |
| D0140 | Limited oral evaluation - problem focused | 218 | 206 | $7K |