Medicaid Provider Spending

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

OPEN AND AFFORDABLE DENTAL CENTENNIAL PLLC

NPI: 1669248852 · CENTENNIAL, CO 80112 · Dentist · NPI assigned 11/28/2023

$38K
Total Medicaid Paid
532
Total Claims
464
Beneficiaries
7
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWOODS, CARLY (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date11/28/2023

Related Entities

Other providers sharing the same authorized official: WOODS, CARLY

ProviderCityStateTotal Paid
OPEN AND AFFORDABLE DENTAL LITTLETON WEST PLLC LITTLETON CO $343K
OPEN AND AFFORDABLE DENTAL WHEAT RIDGE PLLC WHEAT RIDGE CO $97K
OPEN AND AFFORDABLE DENTAL LAFAYETTE PLLC LAFAYETTE CO $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 532 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 126 97 $19K
D0150 Comprehensive oral evaluation - new or established patient 75 75 $5K
D0330 Panoramic radiographic image 80 80 $4K
D0460 145 106 $4K
D1110 Prophylaxis - adult 34 34 $3K
D0274 Bitewings - four radiographic images 49 49 $2K
D1206 Topical application of fluoride varnish 23 23 $965.08