Medicaid Provider Spending

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

FALCON PEDIATRIC DENTISTRY PLLC

NPI: 1407633399 · PEYTON, CO 80831 · Pediatric Dentist · NPI assigned 09/13/2023

$56K
Total Medicaid Paid
1,377
Total Claims
1,083
Beneficiaries
10
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBECK, COLBY (OWNER)
NPI Enumeration Date09/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,377 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 280 258 $15K
D1351 Sealant - per tooth 251 61 $13K
D0150 Comprehensive oral evaluation - new or established patient 215 184 $9K
D1206 Topical application of fluoride varnish 166 148 $5K
D0230 Intraoral - periapical each additional radiographic image 138 107 $4K
D0240 99 99 $3K
D0120 Periodic oral evaluation - established patient 71 71 $3K
D2991 27 27 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 38 36 $1K
D0220 Intraoral - periapical first radiographic image 92 92 $1K