MOBILE OUTREACH ALLIANCE
NPI: 1265067425
· ARVADA, CO 80005
· Public Health Dentist
· NPI assigned 03/09/2020
$765K
Total Medicaid Paid
Provider Details
| Authorized Official | KOGAN, OLGA (CEO) |
| NPI Enumeration Date | 03/09/2020 |
Related Entities
Other providers sharing the same authorized official: KOGAN, OLGA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
980 |
$54K |
| 2021 |
1,547 |
$92K |
| 2022 |
2,380 |
$148K |
| 2023 |
3,582 |
$220K |
| 2024 |
4,148 |
$250K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
4,737 |
4,622 |
$473K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,832 |
1,831 |
$75K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,391 |
1,382 |
$62K |
| D7140 |
Extraction, erupted tooth or exposed root |
305 |
129 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
914 |
912 |
$23K |
| D0210 |
Intraoral - complete series of radiographic images |
509 |
508 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
1,587 |
1,576 |
$20K |
| D1354 |
|
439 |
104 |
$19K |
| D4910 |
|
212 |
209 |
$14K |
| D7250 |
|
56 |
24 |
$10K |
| D1110 |
Prophylaxis - adult |
150 |
150 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
420 |
420 |
$5K |
| D0180 |
|
60 |
60 |
$3K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$710.25 |