Medicaid Provider Spending

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

PERFECT TEETH - SMOKY HILL P.C.

NPI: 1194846584 · CENTENNIAL, CO 80015 · General Practice Dentistry · NPI assigned 04/03/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$52K
Total Medicaid Paid
1,319
Total Claims
1,253
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialSUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date04/03/2007

Related Entities

Other providers sharing the same authorized official: SUMMERS, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH - GARDEN OF THE GODS P.C. COLORADO SPRINGS CO $151K
PERFECT TEETH - CASTLE ROCK P.C. CASTLE ROCK CO $143K
PERFECT TEETH - 88TH & WADSWORTH P.C. ARVADA CO $119K
PERFECT TEETH - MONACO AND EVANS P.C. DENVER CO $119K
PERFECT TEETH - CHEYENNE MEADOWS P.C. COLORADO SPRINGS CO $65K
PERFECT TEETH - YALE P.C. DENVER CO $29K
PERFECT TEETH - EAST 104TH AVENUE P.C. THORNTON CO $26K
PERFECT TEETH - PACE P.C. LONGMONT CO $23K
MISSISSIPPI DENTAL GROUP P.C. AURORA CO $20K
PERFECT TEETH - WEST 120TH AVENUE P.C. BROOMFIELD CO $16K
PERFECT TEETH - WOODMAN VALLEY P.C. COLORADO SPRINGS CO $14K
PERFECT TEETH - LONGMONT P.C. LONGMONT CO $12K
PERFECT TEETH - LEETSDALE P.C. DENVER CO $7K
PERFECT TEETH - SOUTH HOLLY STREET P.C. CENTENNIAL CO $6K
PERFECT TEETH - LOVELAND P.C. LOVELAND CO $4K
PERFECT TEETH - BUCKLEY & QUINCY P.C. AURORA CO $4K
PERFECT TEETH - PLAZA DEL SOL P.C. SANTA FE NM $3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C. ARVADA CO $2K
PERFECT TEETH - ARAPAHOE P.C. CENTENNIAL CO $522.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $11K
2019 222 $7K
2020 151 $6K
2021 223 $6K
2022 159 $4K
2023 243 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 436 435 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 67 49 $9K
D1110 Prophylaxis - adult 187 183 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 48 25 $5K
D0210 Intraoral - complete series of radiographic images 51 51 $4K
D0220 Intraoral - periapical first radiographic image 311 298 $4K
D0140 Limited oral evaluation - problem focused 52 52 $2K
D0120 Periodic oral evaluation - established patient 71 65 $2K
D0230 Intraoral - periapical each additional radiographic image 54 53 $819.97
D1206 Topical application of fluoride varnish 42 42 $707.40