Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › LONGMONT › COLORADO DHCA, LONGMONT, PLLC

COLORADO DHCA, LONGMONT, PLLC

NPI: 1700921368 · LONGMONT, CO 80501 · General Practice Dentistry · NPI assigned 02/21/2007

$26K
Total Medicaid Paid
826
Total Claims
808
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialWILSON, LYNN (MANAGER)
NPI Enumeration Date02/21/2007

Related Entities

Other providers sharing the same authorized official: WILSON, LYNN

ProviderCityStateTotal Paid
CLOVER PARK SCHOOL DISTRICT LAKEWOOD WA $315K
WARMACK PHARMACIES,INC. RISON AR $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 646 $20K
2019 166 $6K
2021 14 $313.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 333 327 $14K
D0120 Periodic oral evaluation - established patient 234 229 $5K
D0274 Bitewings - four radiographic images 95 92 $3K
D0150 Comprehensive oral evaluation - new or established patient 60 60 $2K
D0220 Intraoral - periapical first radiographic image 92 88 $1K
D0140 Limited oral evaluation - problem focused 12 12 $393.72