Medicaid Provider Spending

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

PLATTEVILLE FAMILY DENTISTRY

NPI: 1730433889 · PLATTEVILLE, CO 80651 · Dental Clinic/Center · NPI assigned 10/27/2012

$39K
Total Medicaid Paid
1,451
Total Claims
1,443
Beneficiary Records
6
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialDORIAN, BETH (OWNER)
NPI Enumeration Date10/27/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 695 $18K
2019 599 $16K
2020 157 $5K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 483 480 $19K
D0120 Periodic oral evaluation - established patient 512 511 $11K
D1206 Topical application of fluoride varnish 245 243 $4K
D0274 Bitewings - four radiographic images 132 130 $4K
D0220 Intraoral - periapical first radiographic image 67 67 $798.38
D1120 Prophylaxis - child 12 12 $408.96