Medicaid Provider Spending

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

PERFECT TEETH BOULDER P.C.

NPI: 1184744096 · BOULDER, CO 80305 · General Practice Dentistry · NPI assigned 04/02/2007

$25K
Total Medicaid Paid
634
Total Claims
631
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialHILL, LAUAREN (DIRECTOR, REVENUE CYCLE MANAGEMENT)
NPI Enumeration Date04/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $15K
2019 25 $1K
2020 40 $1K
2021 107 $3K
2022 66 $2K
2023 75 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 292 291 $12K
D0210 Intraoral - complete series of radiographic images 77 76 $6K
D0150 Comprehensive oral evaluation - new or established patient 122 122 $5K
D0120 Periodic oral evaluation - established patient 82 82 $2K
D0220 Intraoral - periapical first radiographic image 61 60 $744.32