Medicaid Provider Spending

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

RETRO DENTAL GROUP BROOMFIELD

NPI: 1376939884 · BROOMFIELD, CO 80020 · Dentist · NPI assigned 04/10/2015

$5K
Total Medicaid Paid
202
Total Claims
199
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialKESSLER, DARREN (DENTIST OWNER)
Parent OrganizationRETRO DENTAL GROUP
NPI Enumeration Date04/10/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 202 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 54 53 $2K
D0120 Periodic oral evaluation - established patient 96 95 $2K
D0220 Intraoral - periapical first radiographic image 34 33 $443.66
D1206 Topical application of fluoride varnish 18 18 $295.20