Medicaid Provider Spending

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

LILTEETH DENTISTRY 2, PLLC

NPI: 1457045007 · AURORA, CO 80016 · General Practice Dentistry · NPI assigned 06/06/2023

$99K
Total Medicaid Paid
1,777
Total Claims
1,761
Beneficiaries
10
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLESPIE, ANDRE (OWNER)
NPI Enumeration Date06/06/2023

Related Entities

Other providers sharing the same authorized official: GILLESPIE, ANDRE

ProviderCityStateTotal Paid
LIL TEETH DENTISTRY PLLC AURORA CO $7.29M
PARKFIELD ORTHODONTICS AURORA CO $1.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,777 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 272 264 $49K
D1120 Prophylaxis - child 295 294 $17K
D1206 Topical application of fluoride varnish 405 404 $14K
D0150 Comprehensive oral evaluation - new or established patient 110 110 $5K
D0230 Intraoral - periapical each additional radiographic image 228 227 $4K
D0220 Intraoral - periapical first radiographic image 276 275 $4K
D0120 Periodic oral evaluation - established patient 72 72 $3K
D0272 Bitewings - two radiographic images 76 76 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 29 25 $955.84
D0190 14 14 $249.62