SOUTHPARK DENTISTRY P.C.
NPI: 1316472079
· LITTLETON, CO 80120
· 122300000X
$338K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
809 |
$23K |
| 2019 |
1,880 |
$51K |
| 2020 |
1,315 |
$37K |
| 2021 |
1,567 |
$45K |
| 2022 |
1,978 |
$60K |
| 2023 |
1,984 |
$61K |
| 2024 |
1,399 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,871 |
2,844 |
$136K |
| D0120 |
|
2,715 |
2,696 |
$66K |
| D0274 |
|
1,766 |
1,755 |
$53K |
| D0150 |
|
610 |
606 |
$25K |
| D1206 |
|
1,096 |
1,084 |
$20K |
| D0220 |
|
1,047 |
1,026 |
$13K |
| D0230 |
|
429 |
425 |
$10K |
| D1120 |
|
203 |
203 |
$6K |
| D0140 |
|
76 |
75 |
$3K |
| D2392 |
|
17 |
13 |
$2K |
| D2391 |
|
17 |
12 |
$2K |
| D0210 |
|
85 |
84 |
$2K |