VILLAGE PARK DENTAL CARE PC
NPI: 1548703325
· AURORA, CO 80012
· General Practice Dentistry
· NPI assigned 11/28/2016
$267K
Total Medicaid Paid
Provider Details
| Authorized Official | LAWSON, MARK (PRESIDENT) |
| NPI Enumeration Date | 11/28/2016 |
Related Entities
Other providers sharing the same authorized official: LAWSON, MARK
| Provider | City | State | Total Paid |
|---|
| MRLRX LLC |
MARCUS HOOK |
PA |
$684K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
898 |
$39K |
| 2020 |
1,279 |
$53K |
| 2021 |
1,602 |
$73K |
| 2022 |
1,651 |
$73K |
| 2023 |
736 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,496 |
1,481 |
$83K |
| D0120 |
Periodic oral evaluation - established patient |
2,017 |
2,008 |
$61K |
| D4910 |
|
526 |
518 |
$48K |
| D0274 |
Bitewings - four radiographic images |
982 |
976 |
$35K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
107 |
75 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
254 |
251 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
447 |
442 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
135 |
134 |
$5K |
| D1206 |
Topical application of fluoride varnish |
176 |
176 |
$3K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$799.37 |