GREEN GABLES DENTAL LLC
NPI: 1508376906
· LAKEWOOD, CO 80232
· Dentist
· NPI assigned 10/11/2017
$3.17M
Total Medicaid Paid
Provider Details
| Authorized Official | RIGGS, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/11/2017 |
Related Entities
Other providers sharing the same authorized official: RIGGS, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,543 |
$506K |
| 2019 |
6,445 |
$785K |
| 2020 |
3,606 |
$421K |
| 2021 |
4,235 |
$461K |
| 2022 |
4,136 |
$455K |
| 2023 |
4,390 |
$547K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,145 |
1,300 |
$832K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,242 |
2,220 |
$654K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,525 |
2,424 |
$563K |
| D9222 |
|
2,490 |
2,425 |
$259K |
| D0330 |
Panoramic radiographic image |
4,780 |
4,679 |
$246K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,977 |
424 |
$177K |
| D0140 |
Limited oral evaluation - problem focused |
4,779 |
4,676 |
$161K |
| D7230 |
|
704 |
470 |
$153K |
| D9219 |
|
2,549 |
2,496 |
$102K |
| D7220 |
|
113 |
78 |
$20K |
| D7250 |
|
51 |
12 |
$9K |