Medicaid Provider Spending

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

ERINDALE DENTAL CENTER

NPI: 1285151258 · COLORADO SPRINGS, CO 80918 · General Practice Dentistry · NPI assigned 08/29/2017

$7K
Total Medicaid Paid
191
Total Claims
191
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, GREG (ADMINISTRATOR)
NPI Enumeration Date08/29/2017

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, GREG

ProviderCityStateTotal Paid
JADE DENTAL PROFESSIONALS COLORADO SPRINGS CO $203K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 124 $4K
2019 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 127 127 $5K
D0120 Periodic oral evaluation - established patient 52 52 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $144.24