Medicaid Provider Spending

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

SPRINGROCK DENTAL

NPI: 1205200474 · AURORA, CO 80012 · General Practice Dentistry · NPI assigned 11/25/2015

$24K
Total Medicaid Paid
564
Total Claims
538
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialBEAL, DAVID (CEO)
NPI Enumeration Date11/25/2015

Related Entities

Other providers sharing the same authorized official: BEAL, DAVID

ProviderCityStateTotal Paid
MAINE SCHOOL ADMINISTRATIVE DISTRICT NO. 37 HARRINGTON ME $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 564 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 50 28 $7K
D0150 Comprehensive oral evaluation - new or established patient 169 169 $6K
D0210 Intraoral - complete series of radiographic images 56 56 $4K
D1110 Prophylaxis - adult 84 84 $3K
D0220 Intraoral - periapical first radiographic image 88 85 $1K
D0274 Bitewings - four radiographic images 24 24 $675.36
D0230 Intraoral - periapical each additional radiographic image 41 40 $496.83
D1206 Topical application of fluoride varnish 27 27 $440.72
D1120 Prophylaxis - child 13 13 $385.24
D0120 Periodic oral evaluation - established patient 12 12 $262.56