Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› PERFECT TEETH - WEST 120TH AVENUE P.C.
PERFECT TEETH - WEST 120TH AVENUE P.C.
NPI: 1235250630 · BROOMFIELD, CO 80020 ·
1223G0001X
$16K
Total Medicaid Paid
204
Total Claims
187
Beneficiaries
5
Codes Billed
2019-09
First Month
2020-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
12
$430.60
2020
192
$15K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D9223
37
26
$5K
D0330
54
54
$3K
D7210
18
12
$3K
D9222
26
26
$3K
D0140
69
69
$2K