IAN M KOTT DDS PC
NPI: 1689978637
· BOULDER, CO 80303
· Dentist
· NPI assigned 01/05/2011
$200K
Total Medicaid Paid
Provider Details
| Authorized Official | KOTT, IAN (OWNER) |
| NPI Enumeration Date | 01/05/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
605 |
$14K |
| 2019 |
1,113 |
$28K |
| 2020 |
1,178 |
$32K |
| 2021 |
1,430 |
$38K |
| 2022 |
1,364 |
$36K |
| 2023 |
1,431 |
$40K |
| 2024 |
434 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,481 |
2,476 |
$60K |
| D1120 |
Prophylaxis - child |
1,466 |
1,460 |
$49K |
| D1206 |
Topical application of fluoride varnish |
2,387 |
2,380 |
$46K |
| D1110 |
Prophylaxis - adult |
778 |
778 |
$35K |
| D0272 |
Bitewings - two radiographic images |
416 |
413 |
$9K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$870.71 |