Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PERFECT TEETH-SPECIALTY CENTER PC

NPI: 1568770162 · DENVER, CO 80222 · Prosthodontist · NPI assigned 09/16/2010

$66K
Total Medicaid Paid
1,045
Total Claims
889
Beneficiary Records
7
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTIN, ANGEL (CREDENTIALING SPECIALIST)
NPI Enumeration Date09/16/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 129 $3K
2023 315 $9K
2024 601 $54K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 233 81 $38K
D0140 Limited oral evaluation - problem focused 334 332 $13K
D0330 Panoramic radiographic image 197 196 $10K
D0460 86 86 $2K
D0220 Intraoral - periapical first radiographic image 169 168 $2K
D0120 Periodic oral evaluation - established patient 14 14 $536.90
D0230 Intraoral - periapical each additional radiographic image 12 12 $184.94