Medicaid Provider Spending

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

MODERN DENTAL PROFESSIONALS CO PC

NPI: 1437530821 · LONGMONT, CO 80501 · General Practice Dentistry · NPI assigned 06/11/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MELLOR, CRAIG controls 12+ related entities in our dataset. Read more

$72K
Total Medicaid Paid
997
Total Claims
795
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialMELLOR, CRAIG (PC OWNER)
Parent OrganizationMODERN DENTAL PROFESSIONALS CO PC
NPI Enumeration Date06/11/2015

Related Entities

Other providers sharing the same authorized official: MELLOR, CRAIG

ProviderCityStateTotal Paid
MODERN DENTAL PROFESSIONALS CO PC THORNTON CO $360K
MODERN DENTAL PROFESIONALS CO PC CASTLE ROCK CO $197K
MODERN DENTAL PROFESSIONALS CO PC AURORA CO $152K
MODERN DENTAL PROFESSIONALS CO PC ARVADA CO $65K
MODERN DENTAL PROFESSIONALS COLORADO PC COLORADO SPRINGS CO $44K
MODERN DENTAL PROFESSIONALS CO PC WESTMINSTER CO $39K
MODERN DENTAL PROFESSIONALS CO PC PARKER CO $35K
MODERN DENTAL PROFESSIONALS CO PC LAKEWOOD CO $20K
MODERN DENTAL PROFESSIONALS CO PC FORT COLLINS CO $17K
MODERN DENTAL PROFESSIONALS CO PC COLORADO SPRINGS CO $7K
MODERN DENTAL PROFESSIONALS CO PC DENVER CO $2K
MODERN DENTAL PROFESSIONALS CO PC HIGHLANDS RANCH CO $792.21

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 208 $20K
2019 162 $12K
2020 170 $12K
2021 212 $13K
2022 215 $14K
2023 30 $896.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 262 129 $35K
D0150 Comprehensive oral evaluation - new or established patient 357 350 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 72 38 $7K
D0210 Intraoral - complete series of radiographic images 81 76 $6K
D4346 113 113 $5K
D4342 34 12 $3K
D0120 Periodic oral evaluation - established patient 53 52 $1K
D0140 Limited oral evaluation - problem focused 25 25 $820.25