Medicaid Provider Spending

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

RETRO DENTAL AURORA DBD, LLC

NPI: 1689150849 · AURORA, CO 80014 · General Practice Dentistry · NPI assigned 07/11/2018

$34K
Total Medicaid Paid
1,093
Total Claims
1,048
Beneficiaries
10
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUSER, JAMIN (CHIEF DENTAL OFFICER)
NPI Enumeration Date07/11/2018

Related Entities

Other providers sharing the same authorized official: HOUSER, JAMIN

ProviderCityStateTotal Paid
RETRO DENTAL BROOMFIELD DBD, LLC BROOMFIELD CO $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $157.82
2020 58 $2K
2021 71 $2K
2023 186 $7K
2024 765 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 196 190 $10K
D0120 Periodic oral evaluation - established patient 319 309 $9K
D0220 Intraoral - periapical first radiographic image 279 264 $4K
D0274 Bitewings - four radiographic images 101 97 $3K
D0330 Panoramic radiographic image 42 40 $2K
D0230 Intraoral - periapical each additional radiographic image 105 97 $2K
D4910 13 13 $2K
D0210 Intraoral - complete series of radiographic images 14 14 $587.03
D0150 Comprehensive oral evaluation - new or established patient 12 12 $452.64
D0140 Limited oral evaluation - problem focused 12 12 $423.96