Medicaid Provider Spending

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

DENVER RESTORATIVE DENTISTRY PLLC

NPI: 1710360359 · BROOMFIELD, CO 80021 · Prosthodontist · NPI assigned 07/01/2015

$2K
Total Medicaid Paid
56
Total Claims
54
Beneficiaries
2
Codes Billed
2019-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialLOSLI, FELICIA (OFFICE MANAGER)
NPI Enumeration Date07/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 56 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 28 27 $1K
D1206 Topical application of fluoride varnish 28 27 $990.36