Medicaid Provider Spending

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

TU DENTISTA LLC

NPI: 1538527932 · LONE TREE, CO 80124 · General Practice Dentistry · NPI assigned 02/01/2016

$156.18
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2018-07
First Month
2018-07
Last Month

Provider Details

Authorized OfficialBELL, PAUL (MEMBER)
NPI Enumeration Date02/01/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $156.18

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 13 13 $156.18