FRONT DOOR DENTAL LLC
NPI: 1538533716
· GRAND JUNCTION, CO 81501
· Dental Hygienist
· NPI assigned 11/25/2015
$390K
Total Medicaid Paid
Provider Details
| Authorized Official | SUMMERS, SARAH (OWNER/DENTAL HYGIENIST) |
| NPI Enumeration Date | 11/25/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,121 |
$81K |
| 2019 |
1,414 |
$88K |
| 2020 |
417 |
$26K |
| 2021 |
792 |
$48K |
| 2022 |
557 |
$41K |
| 2023 |
759 |
$59K |
| 2024 |
534 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
2,549 |
2,413 |
$268K |
| D1110 |
Prophylaxis - adult |
1,358 |
1,310 |
$65K |
| D0180 |
|
378 |
373 |
$17K |
| D4910 |
|
128 |
124 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
393 |
367 |
$10K |
| D1206 |
Topical application of fluoride varnish |
313 |
285 |
$7K |
| D2940 |
|
129 |
41 |
$7K |
| D1354 |
|
279 |
78 |
$2K |
| D0274 |
Bitewings - four radiographic images |
54 |
54 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |