PUEBLO DENTAL CENTER OF PUEBLO
NPI: 1699100982
· PUEBLO, CO 81001
· 1223G0001X
$820K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,130 |
$179K |
| 2019 |
3,314 |
$221K |
| 2020 |
2,348 |
$119K |
| 2021 |
2,225 |
$118K |
| 2022 |
2,464 |
$114K |
| 2023 |
1,456 |
$69K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
|
3,599 |
757 |
$315K |
| D5110 |
|
105 |
105 |
$82K |
| D0150 |
|
1,831 |
1,828 |
$70K |
| D1110 |
|
1,605 |
1,600 |
$66K |
| D2392 |
|
303 |
197 |
$41K |
| D0140 |
|
1,145 |
1,133 |
$38K |
| D0330 |
|
740 |
737 |
$38K |
| D0120 |
|
1,438 |
1,430 |
$32K |
| D0220 |
|
2,466 |
2,439 |
$30K |
| D5120 |
|
36 |
36 |
$28K |
| D2740 |
|
52 |
37 |
$22K |
| D2391 |
|
173 |
108 |
$18K |
| D0274 |
|
557 |
549 |
$16K |
| D0230 |
|
779 |
773 |
$16K |
| D0210 |
|
66 |
66 |
$4K |
| D2950 |
|
16 |
14 |
$2K |
| D7310 |
|
14 |
13 |
$2K |
| D4910 |
|
12 |
12 |
$763.36 |