BRYAN P. SAVAGE, DDS PC
NPI: 1639768690
· CENTENNIAL, CO 80111
· Pediatric Dentist
· NPI assigned 01/14/2021
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | SAVAGE, KAREN (OFFICE MANAGER) |
| Parent Organization | BRYAN P. SAVAGE, DDS PC |
| NPI Enumeration Date | 01/14/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
166 |
$4K |
| 2020 |
544 |
$12K |
| 2021 |
1,517 |
$38K |
| 2022 |
1,339 |
$34K |
| 2023 |
800 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,773 |
1,773 |
$42K |
| D1120 |
Prophylaxis - child |
1,222 |
1,222 |
$40K |
| D1206 |
Topical application of fluoride varnish |
964 |
964 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
265 |
265 |
$4K |
| D1110 |
Prophylaxis - adult |
53 |
53 |
$2K |
| D0272 |
Bitewings - two radiographic images |
89 |
89 |
$2K |