AURORA PEDIATRIC DENTISTRY, PROF. LLC
NPI: 1609875830
· AURORA, CO 80015
· Pediatric Dentist
· NPI assigned 07/19/2005
$141K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYUTIN, DAVID (MANAGER) |
| NPI Enumeration Date | 07/19/2005 |
Related Entities
Other providers sharing the same authorized official: HAYUTIN, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,084 |
$22K |
| 2019 |
1,243 |
$28K |
| 2020 |
1,562 |
$36K |
| 2021 |
2,003 |
$46K |
| 2022 |
427 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,113 |
1,111 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
1,440 |
1,438 |
$34K |
| D1206 |
Topical application of fluoride varnish |
1,542 |
1,537 |
$28K |
| D0272 |
Bitewings - two radiographic images |
669 |
669 |
$14K |
| D1110 |
Prophylaxis - adult |
222 |
222 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
693 |
689 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
577 |
576 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
51 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$367.32 |