Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › WESTMINSTER › COLORADO DENTAL TEAM PROFESSIONAL

COLORADO DENTAL TEAM PROFESSIONAL

NPI: 1639847510 · WESTMINSTER, CO 80021 · Pediatric Dentist · NPI assigned 09/03/2021

$39K
Total Medicaid Paid
578
Total Claims
334
Beneficiaries
7
Codes Billed
2022-08
First Month
2023-04
Last Month

Provider Details

Authorized OfficialSUKKAWALA, KETAN (OWNER)
NPI Enumeration Date09/03/2021

Related Entities

Other providers sharing the same authorized official: SUKKAWALA, KETAN

ProviderCityStateTotal Paid
HCDC PROFESSIONALS PLLC HOUSTON TX $28.22M
DFW DENTAL TEAM DALLAS TX $15.54M
SACS PROFESSIONALS SAN ANTONIO TX $4.33M
BRAZOS VALLEY SMILES, PC COLLEGE STATION TX $2.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 142 $12K
2023 436 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 197 39 $25K
D0350 102 30 $6K
D0140 Limited oral evaluation - problem focused 87 79 $3K
D0150 Comprehensive oral evaluation - new or established patient 60 60 $2K
D0230 Intraoral - periapical each additional radiographic image 48 47 $2K
D0220 Intraoral - periapical first radiographic image 57 52 $716.49
D0272 Bitewings - two radiographic images 27 27 $570.51