PERFECT TEETH - SOUTH HOLLY STREET P.C. · NPI 1558482034

PERFECT TEETH - SOUTH HOLLY STREET P.C.

NPI: 1558482034 · CENTENNIAL, CO 80122 · General Practice Dentistry · NPI assigned 04/03/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$6K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2023-08

First Month

2023-08

Last Month

Authorized Official	SUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date	04/03/2007

Other providers sharing the same authorized official: SUMMERS, LAURIE

Provider	City	State	Total Paid
PERFECT TEETH - GARDEN OF THE GODS P.C.	COLORADO SPRINGS	CO	$151K
PERFECT TEETH - CASTLE ROCK P.C.	CASTLE ROCK	CO	$143K
PERFECT TEETH - 88TH & WADSWORTH P.C.	ARVADA	CO	$119K
PERFECT TEETH - MONACO AND EVANS P.C.	DENVER	CO	$119K
PERFECT TEETH - CHEYENNE MEADOWS P.C.	COLORADO SPRINGS	CO	$65K
PERFECT TEETH - SMOKY HILL P.C.	CENTENNIAL	CO	$52K
PERFECT TEETH - YALE P.C.	DENVER	CO	$29K
PERFECT TEETH - EAST 104TH AVENUE P.C.	THORNTON	CO	$26K
PERFECT TEETH - PACE P.C.	LONGMONT	CO	$23K
MISSISSIPPI DENTAL GROUP P.C.	AURORA	CO	$20K
PERFECT TEETH - WEST 120TH AVENUE P.C.	BROOMFIELD	CO	$16K
PERFECT TEETH - WOODMAN VALLEY P.C.	COLORADO SPRINGS	CO	$14K
PERFECT TEETH - LONGMONT P.C.	LONGMONT	CO	$12K
PERFECT TEETH - LEETSDALE P.C.	DENVER	CO	$7K
PERFECT TEETH - LOVELAND P.C.	LOVELAND	CO	$4K
PERFECT TEETH - BUCKLEY & QUINCY P.C.	AURORA	CO	$4K
PERFECT TEETH - PLAZA DEL SOL P.C.	SANTA FE	NM	$3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C.	ARVADA	CO	$2K
PERFECT TEETH - ARAPAHOE P.C.	CENTENNIAL	CO	$522.92

Year	Claims	Total Paid
2023	75	$6K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24	12	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	20	12	$2K
D0150	Comprehensive oral evaluation - new or established patient	19	19	$804.97
D1110	Prophylaxis - adult	12	12	$561.92