Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JUST WISDOM TEETH WESTMINSTER

NPI: 1649515453 · WESTMINSTER, CO 80234 · Dentist · NPI assigned 12/05/2012

$32K
Total Medicaid Paid
379
Total Claims
348
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialOLNEY, APRIL (RELATIONS MANAGER)
NPI Enumeration Date12/05/2012

Related Entities

Other providers sharing the same authorized official: OLNEY, APRIL

ProviderCityStateTotal Paid
JUST WISDOM TEETH WHEAT RIDGE WHEAT RIDGE CO $398K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 379 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 44 15 $12K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 28 28 $6K
D0330 Panoramic radiographic image 122 121 $6K
D0150 Comprehensive oral evaluation - new or established patient 157 156 $6K
D9222 28 28 $2K