Medicaid Provider Spending

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

WEST METRO PEDIATRIC DENTISTRY PLLC

NPI: 1720790678 · ARVADA, CO 80007 · Pediatric Dentist · NPI assigned 12/21/2022

$27K
Total Medicaid Paid
940
Total Claims
775
Beneficiaries
5
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSAVAGE, BRYAN (OWNER)
NPI Enumeration Date12/21/2022

Related Entities

Other providers sharing the same authorized official: SAVAGE, BRYAN

ProviderCityStateTotal Paid
BRYAN P. SAVAGE, DDS PC ARVADA CO $159K
WEST METRO PEDIATRIC DENTISTRY PLLC CENTENNIAL CO $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 91 $2K
2024 849 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 308 248 $13K
D0120 Periodic oral evaluation - established patient 519 428 $12K
D1206 Topical application of fluoride varnish 43 29 $900.68
D1208 Topical application of fluoride, excluding varnish 58 58 $837.25
D0272 Bitewings - two radiographic images 12 12 $277.50