Medicaid Provider Spending

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

KIDS TOOTH DOC - PARKER

NPI: 1356800783 · PARKER, CO 80134 · Pediatric Dentist · NPI assigned 03/15/2019

$25K
Total Medicaid Paid
1,028
Total Claims
997
Beneficiaries
7
Codes Billed
2019-07
First Month
2023-05
Last Month

Provider Details

Authorized OfficialFOX, BRIAN (MANAGER)
NPI Enumeration Date03/15/2019

Related Entities

Other providers sharing the same authorized official: FOX, BRIAN

ProviderCityStateTotal Paid
KIDS TOOTH DOC ENGLEWOOD CO $2.61M
FIDELITY ANESTHESIA PLLC PLANO TX $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $1K
2020 226 $5K
2021 336 $7K
2022 282 $8K
2023 146 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 459 457 $8K
D1120 Prophylaxis - child 244 242 $8K
D0120 Periodic oral evaluation - established patient 137 137 $3K
D0150 Comprehensive oral evaluation - new or established patient 70 68 $3K
D1351 Sealant - per tooth 38 13 $1K
D0272 Bitewings - two radiographic images 64 64 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 16 16 $512.00