BRIGITTE AM LLC
NPI: 1457063356
· PARKER, CO 80138
· General Practice Dentistry
· NPI assigned 12/22/2022
$392K
Total Medicaid Paid
2,018
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,059 |
$118K |
| 2024 |
2,260 |
$274K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9410 |
|
1,238 |
775 |
$128K |
| D2394 |
|
582 |
146 |
$118K |
| D2335 |
|
336 |
89 |
$64K |
| D0160 |
|
386 |
385 |
$28K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
124 |
52 |
$21K |
| D0350 |
|
126 |
102 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
77 |
74 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
325 |
282 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
88 |
86 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
12 |
$2K |
| D0460 |
|
18 |
15 |
$507.60 |