Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › BURLINGTON › PREVENTIVE FAMILY DENTAL PC

PREVENTIVE FAMILY DENTAL PC

NPI: 1366527400 · BURLINGTON, CO 80807 · Dental Hygienist · NPI assigned 10/26/2006

$1K
Total Medicaid Paid
65
Total Claims
65
Beneficiaries
2
Codes Billed
2018-08
First Month
2021-08
Last Month

Provider Details

Authorized OfficialHUDDLESTON, JULIE (PRESIDENT)
NPI Enumeration Date10/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $1K
2021 12 $269.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 40 40 $881.68
D1206 Topical application of fluoride varnish 25 25 $410.00