Medicaid Provider Spending

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

PRAIRIE CENTER DENTAL CARE, LLC

NPI: 1518133040 · BRIGHTON, CO 80601 · Dentist · NPI assigned 05/05/2008

$5K
Total Medicaid Paid
140
Total Claims
138
Beneficiaries
6
Codes Billed
2023-05
First Month
2023-08
Last Month

Provider Details

Authorized OfficialNITTINGER, RACHEL (MANAGER CREDENTIALING)
Parent OrganizationDENTALONE PARTNERS, INC
NPI Enumeration Date05/05/2008

Related Entities

Other providers sharing the same authorized official: NITTINGER, RACHEL

ProviderCityStateTotal Paid
HEATHER PARK DENTAL CARE, LLC CENTENNIAL CO $5K
BROOMFIELD DENTAL GROUP, LLC BROOMFIELD CO $2K
JACKSON CREEK DENTAL CARE, P.C. MONUMENT CO $487.32
NETWORK PROVIDER ASSOCIATES, P.C. MURPHY TX $174.93
NETWORK PROVIDER ASSOCIATES, P.C. SPRING TX $0.00
TENNESSEE DENTAL PROVIDER NETWORK, P.C. HENDERSONVILLE TN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 140 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 38 38 $2K
D1110 Prophylaxis - adult 26 26 $1K
D0210 Intraoral - complete series of radiographic images 33 32 $585.36
D0150 Comprehensive oral evaluation - new or established patient 14 14 $581.16
D0140 Limited oral evaluation - problem focused 14 13 $487.63
D0274 Bitewings - four radiographic images 15 15 $458.85