WILLOW CREEK PERFECT TEETH PC
NPI: 1316553860
· CENTENNIAL, CO 80112
· 261QD0000X
$730K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
4,918 |
$170K |
| 2022 |
6,404 |
$166K |
| 2023 |
6,850 |
$213K |
| 2024 |
5,021 |
$180K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
3,529 |
3,527 |
$128K |
| D2392 |
|
754 |
400 |
$95K |
| D1206 |
|
4,373 |
4,372 |
$91K |
| D0120 |
|
3,390 |
3,390 |
$86K |
| D0150 |
|
1,068 |
1,068 |
$43K |
| D0230 |
|
2,154 |
2,147 |
$41K |
| D2391 |
|
381 |
236 |
$39K |
| D1110 |
|
711 |
711 |
$39K |
| D0220 |
|
2,654 |
2,635 |
$35K |
| D9230 |
|
1,072 |
984 |
$34K |
| D1351 |
|
657 |
198 |
$23K |
| D0272 |
|
946 |
946 |
$20K |
| D0274 |
|
481 |
481 |
$15K |
| D0350 |
|
399 |
398 |
$13K |
| D2930 |
|
57 |
25 |
$7K |
| D7140 |
|
65 |
38 |
$6K |
| D0330 |
|
93 |
93 |
$5K |
| D0210 |
|
253 |
250 |
$4K |
| D0240 |
|
113 |
111 |
$4K |
| D8670 |
|
12 |
12 |
$1K |
| D0140 |
|
31 |
30 |
$1K |