Medicaid Provider Spending

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

PERFECT TEETH - YALE P.C.

NPI: 1316068729 · DENVER, CO 80227 · 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

$29K
Total Medicaid Paid
874
Total Claims
866
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-05
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 - 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 - WEST 120TH AVENUE P.C. BROOMFIELD CO $16K
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
2018 149 $6K
2019 203 $8K
2020 84 $3K
2021 181 $5K
2022 202 $6K
2023 55 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 394 390 $15K
D1110 Prophylaxis - adult 110 110 $5K
D0210 Intraoral - complete series of radiographic images 39 39 $3K
D0220 Intraoral - periapical first radiographic image 183 179 $2K
D0140 Limited oral evaluation - problem focused 67 67 $2K
D0274 Bitewings - four radiographic images 26 26 $738.88
D0120 Periodic oral evaluation - established patient 16 16 $407.08
D0230 Intraoral - periapical each additional radiographic image 26 26 $335.64
D1206 Topical application of fluoride varnish 13 13 $213.07