DENNIS P. DRISCOLL DDS
NPI: 1609231968
· WALSENBRUG, CO 81089
· Dentist
· NPI assigned 12/30/2015
$245K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DRISCOLL, DENNIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
414 |
$27K |
| 2019 |
911 |
$69K |
| 2020 |
284 |
$25K |
| 2021 |
379 |
$30K |
| 2022 |
778 |
$61K |
| 2023 |
296 |
$24K |
| 2024 |
120 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9410 |
|
1,140 |
1,041 |
$172K |
| D0120 |
Periodic oral evaluation - established patient |
1,059 |
1,007 |
$43K |
| D1206 |
Topical application of fluoride varnish |
895 |
796 |
$28K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$852.55 |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$802.30 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$372.62 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
30 |
$360.60 |