Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › LONGMONT › PERFECT TEETH - PACE P.C.

PERFECT TEETH - PACE P.C.

NPI: 1487825147 · LONGMONT, CO 80501 · General Practice Dentistry · NPI assigned 03/20/2008

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

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$23K
Total Medicaid Paid
479
Total Claims
469
Beneficiaries
6
Codes Billed
2021-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date03/20/2008

Related Entities

Other providers sharing the same authorized official: SUMMERS, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH - GARDEN OF THE GODS P.C. COLORADO SPRINGS CO $151K
PERFECT TEETH - CASTLE ROCK P.C. CASTLE ROCK CO $143K
PERFECT TEETH - 88TH & WADSWORTH P.C. ARVADA CO $119K
PERFECT TEETH - MONACO AND EVANS P.C. DENVER CO $119K
PERFECT TEETH - CHEYENNE MEADOWS P.C. COLORADO SPRINGS CO $65K
PERFECT TEETH - SMOKY HILL P.C. CENTENNIAL CO $52K
PERFECT TEETH - YALE P.C. DENVER CO $29K
PERFECT TEETH - EAST 104TH AVENUE P.C. THORNTON CO $26K
MISSISSIPPI DENTAL GROUP P.C. AURORA CO $20K
PERFECT TEETH - WEST 120TH AVENUE P.C. BROOMFIELD CO $16K
PERFECT TEETH - WOODMAN VALLEY P.C. COLORADO SPRINGS CO $14K
PERFECT TEETH - LONGMONT P.C. LONGMONT CO $12K
PERFECT TEETH - LEETSDALE P.C. DENVER CO $7K
PERFECT TEETH - SOUTH HOLLY STREET P.C. CENTENNIAL CO $6K
PERFECT TEETH - LOVELAND P.C. LOVELAND CO $4K
PERFECT TEETH - BUCKLEY & QUINCY P.C. AURORA CO $4K
PERFECT TEETH - PLAZA DEL SOL P.C. SANTA FE NM $3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C. ARVADA CO $2K
PERFECT TEETH - ARAPAHOE P.C. CENTENNIAL CO $522.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 190 $8K
2022 26 $1K
2023 251 $14K
2024 12 $487.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 231 231 $9K
D0210 Intraoral - complete series of radiographic images 70 69 $6K
D1110 Prophylaxis - adult 114 114 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 25 16 $3K
D0220 Intraoral - periapical first radiographic image 26 26 $325.17
D0120 Periodic oral evaluation - established patient 13 13 $297.80