PERFECT TEETH - LEETSDALE P.C. · NPI 1649391103

PERFECT TEETH - LEETSDALE P.C.

NPI: 1649391103 · DENVER, CO 80224 · General Practice Dentistry · NPI assigned 04/03/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$7K

Total Medicaid Paid

270

Total Claims

258

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Authorized Official	SUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date	04/03/2007

Other providers sharing the same authorized official: SUMMERS, LAURIE

Provider	City	State	Total Paid
PERFECT TEETH - GARDEN OF THE GODS P.C.	COLORADO SPRINGS	CO	$151K
PERFECT TEETH - CASTLE ROCK P.C.	CASTLE ROCK	CO	$143K
PERFECT TEETH - 88TH & WADSWORTH P.C.	ARVADA	CO	$119K
PERFECT TEETH - MONACO AND EVANS P.C.	DENVER	CO	$119K
PERFECT TEETH - CHEYENNE MEADOWS P.C.	COLORADO SPRINGS	CO	$65K
PERFECT TEETH - SMOKY HILL P.C.	CENTENNIAL	CO	$52K
PERFECT TEETH - YALE P.C.	DENVER	CO	$29K
PERFECT TEETH - EAST 104TH AVENUE P.C.	THORNTON	CO	$26K
PERFECT TEETH - PACE P.C.	LONGMONT	CO	$23K
MISSISSIPPI DENTAL GROUP P.C.	AURORA	CO	$20K
PERFECT TEETH - WEST 120TH AVENUE P.C.	BROOMFIELD	CO	$16K
PERFECT TEETH - WOODMAN VALLEY P.C.	COLORADO SPRINGS	CO	$14K
PERFECT TEETH - LONGMONT P.C.	LONGMONT	CO	$12K
PERFECT TEETH - SOUTH HOLLY STREET P.C.	CENTENNIAL	CO	$6K
PERFECT TEETH - LOVELAND P.C.	LOVELAND	CO	$4K
PERFECT TEETH - BUCKLEY & QUINCY P.C.	AURORA	CO	$4K
PERFECT TEETH - PLAZA DEL SOL P.C.	SANTA FE	NM	$3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C.	ARVADA	CO	$2K
PERFECT TEETH - ARAPAHOE P.C.	CENTENNIAL	CO	$522.92

Year	Claims	Total Paid
2018	122	$3K
2019	148	$3K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	71	71	$3K
D0140	Limited oral evaluation - problem focused	43	38	$1K
D0220	Intraoral - periapical first radiographic image	89	83	$1K
D0120	Periodic oral evaluation - established patient	40	40	$850.02
D1110	Prophylaxis - adult	12	12	$477.12
D0230	Intraoral - periapical each additional radiographic image	15	14	$197.83