ENGLEWOOD DENTAL CENTER PC
NPI: 1619514387
· ENGLEWOOD, CO 80113
· Dentist
· NPI assigned 12/02/2019
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | ABBOUD, DANNY (PRESIDENT) |
| NPI Enumeration Date | 12/02/2019 |
Related Entities
Other providers sharing the same authorized official: ABBOUD, DANNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
172 |
$5K |
| 2022 |
749 |
$22K |
| 2023 |
462 |
$12K |
| 2024 |
549 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
51 |
32 |
$39K |
| D1110 |
Prophylaxis - adult |
417 |
408 |
$21K |
| D0274 |
Bitewings - four radiographic images |
293 |
291 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
198 |
198 |
$8K |
| D0330 |
Panoramic radiographic image |
99 |
95 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
399 |
386 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
138 |
137 |
$4K |
| D2954 |
|
25 |
18 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
57 |
44 |
$2K |
| D0383 |
|
14 |
13 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
149 |
148 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
79 |
79 |
$1K |
| D0460 |
|
13 |
12 |
$355.24 |