Medicaid Provider Spending

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

DR. TIMOTHY J. WACHUTA

NPI: 1164018693 · WHEAT RIDGE, CO 80033 · Dental Clinic/Center · NPI assigned 12/18/2020

$4K
Total Medicaid Paid
113
Total Claims
113
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialWACHUTA, TIMOTHY (DENTIST/OWNER)
NPI Enumeration Date12/18/2020

Related Entities

Other providers sharing the same authorized official: WACHUTA, TIMOTHY

ProviderCityStateTotal Paid
DR. TIMOTHY J. WACHUTA DENVER CO $43K
DR. TIMOTHY J. WACHUTA DENVER CO $17K
DR. TIMOTHY J. WACHUTA GOLDEN CO $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 72 $2K
2023 28 $1K
2024 13 $724.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 56 56 $3K
D0120 Periodic oral evaluation - established patient 17 17 $358.72
D0274 Bitewings - four radiographic images 12 12 $349.44
D0230 Intraoral - periapical each additional radiographic image 14 14 $184.80
D0220 Intraoral - periapical first radiographic image 14 14 $172.48