4 CORNERS DENTISTRY LLC
NPI: 1487134987
· CORTEZ, CO 81321
· 261QD0000X
$585K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
369 |
$23K |
| 2019 |
1,761 |
$108K |
| 2020 |
1,852 |
$106K |
| 2021 |
2,350 |
$123K |
| 2022 |
1,891 |
$77K |
| 2023 |
2,377 |
$98K |
| 2024 |
1,247 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,145 |
623 |
$152K |
| D7140 |
|
1,133 |
398 |
$110K |
| D1110 |
|
1,658 |
1,573 |
$79K |
| D0140 |
|
1,417 |
1,329 |
$48K |
| D0150 |
|
1,189 |
1,165 |
$47K |
| D0120 |
|
1,534 |
1,445 |
$38K |
| D0330 |
|
642 |
637 |
$33K |
| D0274 |
|
605 |
593 |
$18K |
| D0220 |
|
1,270 |
1,210 |
$16K |
| D1120 |
|
300 |
277 |
$11K |
| D1206 |
|
446 |
419 |
$9K |
| D2393 |
|
53 |
31 |
$9K |
| D2391 |
|
69 |
36 |
$7K |
| D0230 |
|
206 |
169 |
$5K |
| D0272 |
|
132 |
130 |
$3K |
| D0210 |
|
36 |
30 |
$2K |
| D4910 |
|
12 |
12 |
$820.13 |