Medicaid Provider Spending

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

STETTLER KR UNION, PLLC

NPI: 1366207169 · COLORADO SPRINGS, CO 80907 · Pediatric Dentist · NPI assigned 02/20/2024

$21K
Total Medicaid Paid
467
Total Claims
467
Beneficiaries
6
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTETTLER, CORBAN (OWNER/DDS)
NPI Enumeration Date02/20/2024

Related Entities

Other providers sharing the same authorized official: STETTLER, CORBAN

ProviderCityStateTotal Paid
CORBAN STETTLER, DDS PC COLORADO SPRINGS CO $4.39M
STETTLER KR BROADMOOR PLLC COLORADO SPRINGS CO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 467 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 149 149 $9K
D0150 Comprehensive oral evaluation - new or established patient 110 110 $5K
D1206 Topical application of fluoride varnish 159 159 $5K
D0120 Periodic oral evaluation - established patient 13 13 $498.55
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $395.52
D0220 Intraoral - periapical first radiographic image 24 24 $313.92