BOULDER DENTAL CENTER ARAPAHOE,P.C
NPI: 1265979769
· BOULDER, CO 80303
· Dentist
· NPI assigned 01/23/2017
$210K
Total Medicaid Paid
Provider Details
| Authorized Official | ABBOUD, DANNY (PRESIDENT) |
| NPI Enumeration Date | 01/23/2017 |
Related Entities
Other providers sharing the same authorized official: ABBOUD, DANNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
932 |
$46K |
| 2019 |
923 |
$36K |
| 2020 |
1,063 |
$33K |
| 2021 |
1,866 |
$52K |
| 2022 |
212 |
$6K |
| 2023 |
40 |
$2K |
| 2024 |
780 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,665 |
1,655 |
$75K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
718 |
710 |
$29K |
| D0274 |
Bitewings - four radiographic images |
1,007 |
996 |
$29K |
| D0330 |
Panoramic radiographic image |
451 |
443 |
$23K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
153 |
72 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
865 |
860 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
676 |
660 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
168 |
167 |
$2K |
| D0383 |
|
14 |
14 |
$2K |
| D0460 |
|
28 |
26 |
$738.68 |
| D0210 |
Intraoral - complete series of radiographic images |
59 |
59 |
$456.37 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$215.29 |