LITTLETON KIDS DENTAL
NPI: 1437522513
· LITTLETON, CO 80123
· Pediatric Dentist
· NPI assigned 11/11/2015
$266K
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, MELANIE (PRACTICE MANAGER) |
| NPI Enumeration Date | 11/11/2015 |
Related Entities
Other providers sharing the same authorized official: JONES, MELANIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
403 |
$9K |
| 2019 |
646 |
$15K |
| 2020 |
949 |
$24K |
| 2021 |
1,865 |
$45K |
| 2022 |
2,426 |
$56K |
| 2023 |
2,441 |
$57K |
| 2024 |
1,863 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,121 |
2,098 |
$77K |
| D0120 |
Periodic oral evaluation - established patient |
2,715 |
2,685 |
$69K |
| D1206 |
Topical application of fluoride varnish |
2,837 |
2,813 |
$60K |
| D1110 |
Prophylaxis - adult |
294 |
290 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
995 |
984 |
$13K |
| D0272 |
Bitewings - two radiographic images |
549 |
543 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
890 |
882 |
$12K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
80 |
78 |
$3K |
| D8660 |
|
12 |
12 |
$2K |
| D1351 |
Sealant - per tooth |
43 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$554.89 |
| D0350 |
|
13 |
13 |
$424.70 |