Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Perfect Teeth - West 120TH Avenue P.C.

Perfect Teeth - West 120TH Avenue P.C. was paid $16K by Medicaid between Sep 2019 and Mar 2020, across 5 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 33% of everything it billed.

33Billing provider infoPERFECT TEETH - WEST 120TH AVENUE P.C.
BROOMFIELD, CO 80020
33aNPI1235250630assigned 04/03/2007
28Total paid$16K
24GClaims204
24DCodes billed5
24AFirst – last monthSep 2019 – Mar 2020
Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#348 of 521
Median peer was paid$53K
This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201912$430.60
2020192$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 33% 37 26 $5K
D0330 Panoramic radiographic image 18% 54 54 $3K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 18% 18 12 $3K
D9222 17% 26 26 $3K
D0140 Limited oral evaluation - problem focused 15% 69 69 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSUMMERS, LAURIE (CREDENTIALING)
Same official

Other billing entities under SUMMERS, LAURIE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.