Medicaid Provider Spending

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

COLORADO COMFORT KIDS DENTISTRY PLLC

NPI: 1407546997 · LONGMONT, CO 80501 · Pediatric Dentist · NPI assigned 05/09/2023

$66K
Total Medicaid Paid
1,166
Total Claims
1,032
Beneficiaries
11
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWERNER, GREGORY (OWNER)
NPI Enumeration Date05/09/2023

Related Entities

Other providers sharing the same authorized official: WERNER, GREGORY

ProviderCityStateTotal Paid
B & G ORTHODONTICS LONGMONT CO $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 167 $5K
2024 999 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 67 12 $13K
D0150 Comprehensive oral evaluation - new or established patient 214 214 $11K
D1120 Prophylaxis - child 191 191 $11K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 73 33 $10K
D1206 Topical application of fluoride varnish 254 254 $8K
D0330 Panoramic radiographic image 62 62 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 99 96 $3K
D0272 Bitewings - two radiographic images 107 107 $2K
D1351 Sealant - per tooth 49 13 $2K
D0240 25 25 $998.16
D0120 Periodic oral evaluation - established patient 25 25 $958.75