Medicaid Provider Spending

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

CLOVER PEDIATRIC DENTISTRY PLLC

NPI: 1497345839 · ARVADA, CO 80005 · Pediatric Dentist · NPI assigned 01/20/2021

$89K
Total Medicaid Paid
2,883
Total Claims
2,350
Beneficiaries
9
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYIP, BETTY (OWNER, PEDIATRIC DENTIST)
NPI Enumeration Date01/20/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 223 $7K
2022 774 $20K
2023 1,283 $38K
2024 603 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 717 190 $35K
D1120 Prophylaxis - child 561 561 $21K
D1206 Topical application of fluoride varnish 683 683 $14K
D0120 Periodic oral evaluation - established patient 387 387 $10K
D0230 Intraoral - periapical each additional radiographic image 169 168 $4K
D0220 Intraoral - periapical first radiographic image 287 282 $4K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $976.51
D0272 Bitewings - two radiographic images 42 42 $890.33
D9219 12 12 $500.64