Medicaid Provider Spending

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

MICHAEL S MCCORMACK, DDS, PC

NPI: 1497164842 · LITTLETON, CO 80120 · General Practice Dentistry · NPI assigned 08/11/2014

$44K
Total Medicaid Paid
1,190
Total Claims
1,130
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialMCCORMACK, MICHAEL (OWNER)
NPI Enumeration Date08/11/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 523 $20K
2019 638 $23K
2020 29 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 404 383 $21K
D0120 Periodic oral evaluation - established patient 414 390 $12K
D1206 Topical application of fluoride varnish 150 137 $4K
D0150 Comprehensive oral evaluation - new or established patient 91 91 $4K
D0274 Bitewings - four radiographic images 53 53 $2K
D0220 Intraoral - periapical first radiographic image 36 35 $523.02
D0230 Intraoral - periapical each additional radiographic image 30 29 $422.27
D1120 Prophylaxis - child 12 12 $417.24