Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Perfect Teeth - South Holly Street P.C.

Perfect Teeth - South Holly Street P.C. was paid $6K by Medicaid between Aug 2023 and Aug 2023, across 4 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 47% of everything it billed.

33Billing provider infoPERFECT TEETH - SOUTH HOLLY STREET P.C.
CENTENNIAL, CO 80122
33aNPI1558482034assigned 04/03/2007
28Total paid$6K
24GClaims75
24DCodes billed4
24AFirst – last monthAug 2023 – Aug 2023
Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#416 of 521
Median peer was paid$53K
This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202375$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 47% 24 12 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 32% 20 12 $2K
D0150 Comprehensive oral evaluation - new or established patient 12% 19 19 $804.97
D1110 Prophylaxis - adult 8.7% 12 12 $561.92

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSUMMERS, LAURIE (CREDENTIALING)
Same official

Other billing entities under SUMMERS, LAURIE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.