Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › COLORADO SPRINGS › PRESTIGE DENTAL COLORADO SPRINGS, PLLC

PRESTIGE DENTAL COLORADO SPRINGS, PLLC

NPI: 1154100857 · COLORADO SPRINGS, CO 80917 · General Practice Dentistry · NPI assigned 09/22/2023

$6K
Total Medicaid Paid
96
Total Claims
95
Beneficiaries
1
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDIAM, NICK (CREDENTIALING MANAGER)
NPI Enumeration Date09/22/2023

Related Entities

Other providers sharing the same authorized official: SUNDIAM, NICK

ProviderCityStateTotal Paid
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC PARKER CO $182K
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC CASTLE ROCK CO $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 96 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 96 95 $6K