PEDIATRIC DENTAL GROUP OF ARVADA PC
NPI: 1467688291
· ARVADA, CO 80005
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/08/2009
$655K
Total Medicaid Paid
Provider Details
| Authorized Official | STRANGE, DAVID (PRESIDENT) |
| NPI Enumeration Date | 06/08/2009 |
Related Entities
Other providers sharing the same authorized official: STRANGE, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,700 |
$88K |
| 2019 |
4,034 |
$107K |
| 2020 |
3,364 |
$90K |
| 2021 |
4,685 |
$125K |
| 2022 |
4,781 |
$127K |
| 2023 |
2,639 |
$67K |
| 2024 |
1,235 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
5,514 |
5,474 |
$185K |
| D1206 |
Topical application of fluoride varnish |
7,803 |
7,745 |
$151K |
| D0120 |
Periodic oral evaluation - established patient |
6,036 |
6,000 |
$145K |
| D1110 |
Prophylaxis - adult |
1,234 |
1,226 |
$58K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,017 |
1,007 |
$40K |
| D0272 |
Bitewings - two radiographic images |
1,867 |
1,850 |
$39K |
| D0330 |
Panoramic radiographic image |
364 |
364 |
$19K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
352 |
341 |
$11K |
| D0274 |
Bitewings - four radiographic images |
239 |
237 |
$7K |
| D0240 |
|
12 |
12 |
$463.68 |