Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PERFECT TEETH - COMMERCE CITY P.C.

NPI: 1417320623 · COMMERCE CITY, CO 80022 · General Practice Dentistry · NPI assigned 11/10/2015

$23K
Total Medicaid Paid
584
Total Claims
572
Beneficiaries
7
Codes Billed
2018-03
First Month
2019-05
Last Month

Provider Details

Authorized OfficialARBUCKLE, LAURIE (CREDENTIALING MANAGER)
NPI Enumeration Date11/10/2015

Related Entities

Other providers sharing the same authorized official: ARBUCKLE, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH / CENTERRA P.C. LOVELAND CO $1.00M
PERFECT TEETH / COORS & CENTRAL P.C. ALBUQUERQUE NM $61K
PERFECT TEETH / ERIE P.C ERIE CO $20K
PERFECT TEETH - EAST ILIFF P.C. AURORA CO $502.58

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 364 $16K
2019 220 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 203 202 $8K
D1110 Prophylaxis - adult 94 94 $4K
D0330 Panoramic radiographic image 70 70 $3K
D0274 Bitewings - four radiographic images 120 120 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 12 $3K
D0140 Limited oral evaluation - problem focused 26 26 $853.06
D1206 Topical application of fluoride varnish 48 48 $787.20