Medicaid Provider Spending

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

OPEN AND AFFORDABLE DENTAL LAFAYETTE PLLC

NPI: 1386420065 · LAFAYETTE, CO 80026 · Dentist · NPI assigned 09/07/2023

$24K
Total Medicaid Paid
473
Total Claims
473
Beneficiaries
6
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOODS, CARLY (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date09/07/2023

Related Entities

Other providers sharing the same authorized official: WOODS, CARLY

ProviderCityStateTotal Paid
OPEN AND AFFORDABLE DENTAL LITTLETON WEST PLLC LITTLETON CO $343K
OPEN AND AFFORDABLE DENTAL WHEAT RIDGE PLLC WHEAT RIDGE CO $97K
OPEN AND AFFORDABLE DENTAL CENTENNIAL PLLC CENTENNIAL CO $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 473 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 179 179 $10K
D0150 Comprehensive oral evaluation - new or established patient 127 127 $7K
D1110 Prophylaxis - adult 33 33 $3K
D0140 Limited oral evaluation - problem focused 53 53 $2K
D0274 Bitewings - four radiographic images 67 67 $2K
D0220 Intraoral - periapical first radiographic image 14 14 $184.94