NPI: 1164803276 · PARKER, CO 80134 · General Practice Dentistry · NPI assigned 06/15/2015
Authorized official MELLOR, CRAIG controls 12+ related entities in our dataset. Read more
| Authorized Official | MELLOR, CRAIG (PC OWNER) |
| Parent Organization | MODERN DENTAL PROFESSIONALS CO PC |
| NPI Enumeration Date | 06/15/2015 |
Other providers sharing the same authorized official: MELLOR, CRAIG
| Provider | City | State | Total 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 COLORADO PC | COLORADO SPRINGS | CO | $44K |
| MODERN DENTAL PROFESSIONALS CO PC | WESTMINSTER | CO | $39K |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 254 | $9K |
| 2019 | 25 | $755.34 |
| 2020 | 411 | $25K |
| 2023 | 12 | $487.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 81 | 41 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 189 | 189 | $7K |
| D1110 | Prophylaxis - adult | 78 | 77 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 31 | 12 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 42 | 42 | $3K |
| D0120 | Periodic oral evaluation - established patient | 81 | 81 | $2K |
| D1206 | Topical application of fluoride varnish | 80 | 80 | $1K |
| D0140 | Limited oral evaluation - problem focused | 27 | 27 | $885.87 |
| D1120 | Prophylaxis - child | 28 | 28 | $845.28 |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $703.50 |
| D0220 | Intraoral - periapical first radiographic image | 40 | 40 | $480.80 |