Medicaid Provider Spending

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

PAUL A. ANDREATTA DDS PC

NPI: 1336527506 · TRINIDAD, CO 81082 · Dentist · NPI assigned 05/08/2015

$18K
Total Medicaid Paid
586
Total Claims
582
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialANDREATTA, PAUL (OWNER)
NPI Enumeration Date05/08/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 284 $9K
2019 138 $4K
2020 27 $519.39
2021 137 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 137 137 $7K
D0120 Periodic oral evaluation - established patient 215 214 $6K
D1206 Topical application of fluoride varnish 121 118 $2K
D0150 Comprehensive oral evaluation - new or established patient 47 47 $2K
D1120 Prophylaxis - child 42 42 $1K
D0274 Bitewings - four radiographic images 12 12 $366.23
D0272 Bitewings - two radiographic images 12 12 $240.24