Medicaid Provider Spending

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

AURORA PEDO DENTAL, PLLC

NPI: 1346969730 · AURORA, CO 80013 · Pediatric Dentist · NPI assigned 08/26/2022

$74K
Total Medicaid Paid
2,081
Total Claims
1,958
Beneficiaries
14
Codes Billed
2023-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLAKE, COLTON (MANAGING OFFICER)
NPI Enumeration Date08/26/2022

Related Entities

Other providers sharing the same authorized official: FLAKE, COLTON

ProviderCityStateTotal Paid
PEDO THREE, PROF. LLC CENTENNIAL CO $5.86M
CDK PEDO THORNTON, PLLC NORTHGLENN CO $1.17M
PEDO TWO, PROF. LLC LAKEWOOD CO $679K
PEDO FOUR, PROF. LLC AURORA CO $528K
BRIGHTON PEDO DENTAL, PLLC BRIGHTON CO $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 430 $11K
2024 1,651 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 352 351 $18K
D0350 279 223 $16K
D1206 Topical application of fluoride varnish 297 296 $10K
D0120 Periodic oral evaluation - established patient 260 260 $8K
D1354 81 17 $4K
D0272 Bitewings - two radiographic images 177 176 $4K
D0220 Intraoral - periapical first radiographic image 237 237 $3K
D1208 Topical application of fluoride, excluding varnish 175 175 $3K
D0150 Comprehensive oral evaluation - new or established patient 40 40 $2K
D0230 Intraoral - periapical each additional radiographic image 78 78 $1K
D0240 63 63 $1K
D1110 Prophylaxis - adult 12 12 $593.07
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 16 16 $527.36
D0145 Oral evaluation for a patient under three years of age 14 14 $475.41