JMJ III
NPI: 1538680178
· CRIPPLE CREEK, CO 80813
· Dentist
· NPI assigned 07/05/2017
$497.10
Total Medicaid Paid
Provider Details
| Authorized Official | BISHOP, RUTH (OFFICE MANAGER) |
| Parent Organization | JMJ III |
| NPI Enumeration Date | 07/05/2017 |
Related Entities
Other providers sharing the same authorized official: BISHOP, RUTH
| Provider | City | State | Total Paid |
|---|
| JMJ III |
WOODLAND PARK |
CO |
$273K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$497.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$497.10 |