Medicaid Provider Spending

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

PERFECT TEETH - WEST 120TH AVENUE P.C.

NPI: 1235250630 · BROOMFIELD, CO 80020 · 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

$16K
Total Medicaid Paid
204
Total Claims
187
Beneficiaries
5
Codes Billed
2019-09
First Month
2020-03
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 - SMOKY HILL P.C. CENTENNIAL CO $52K
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 - 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
2019 12 $430.60
2020 192 $15K

Billing Codes

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