Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PERFECT TEETH / ERIE P.C

NPI: 1174876288 · ERIE, CO 80516 · General Practice Dentistry · NPI assigned 10/26/2012

$20K
Total Medicaid Paid
598
Total Claims
595
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-05
Last Month

Provider Details

Authorized OfficialARBUCKLE, LAURIE (CREDENTIALING SPECIALIST)
NPI Enumeration Date10/26/2012

Related Entities

Other providers sharing the same authorized official: ARBUCKLE, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH / CENTERRA P.C. LOVELAND CO $1.00M
PERFECT TEETH / COORS & CENTRAL P.C. ALBUQUERQUE NM $61K
PERFECT TEETH - COMMERCE CITY P.C. COMMERCE CITY CO $23K
PERFECT TEETH - EAST ILIFF P.C. AURORA CO $502.58

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42 $2K
2020 251 $7K
2021 116 $4K
2022 51 $2K
2023 112 $5K
2024 26 $887.94

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 188 187 $8K
D0150 Comprehensive oral evaluation - new or established patient 201 201 $8K
D0140 Limited oral evaluation - problem focused 49 49 $2K
D0220 Intraoral - periapical first radiographic image 89 88 $1K
D0120 Periodic oral evaluation - established patient 39 39 $911.87
D0274 Bitewings - four radiographic images 15 15 $430.50
D0230 Intraoral - periapical each additional radiographic image 17 16 $216.36