Medicaid Provider Spending

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

ELITE DENTAL GROUP AURORA INC

NPI: 1366002131 · AURORA, CO 80014 · Dental Clinic/Center · NPI assigned 06/14/2019

$47K
Total Medicaid Paid
393
Total Claims
364
Beneficiaries
7
Codes Billed
2024-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJUNG, KYU (OWNER)
NPI Enumeration Date06/14/2019

Related Entities

Other providers sharing the same authorized official: JUNG, KYU

ProviderCityStateTotal Paid
ELITE DENTAL GROUP SE CO SPRINGS INC COLORADO SPRINGS CO $107K
ELITE DENTAL GROUP LAKEWOOD INC LAKEWOOD CO $49K
ELITE DENTAL GROUP THORNTON, PLLC THORNTON CO $40K
ELITE DENTAL GROUP CO SPRINGS INC COLORADO SPRINGS CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 393 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 27 14 $23K
D0350 38 38 $13K
D0120 Periodic oral evaluation - established patient 122 121 $4K
D1110 Prophylaxis - adult 40 40 $4K
D0220 Intraoral - periapical first radiographic image 137 123 $2K
D1206 Topical application of fluoride varnish 16 16 $671.36
D0230 Intraoral - periapical each additional radiographic image 13 12 $264.20