Medicaid Provider Spending

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

PERFECT TEETH - GARDEN OF THE GODS P.C.

NPI: 1770604449 · COLORADO SPRINGS, CO 80907 · General Practice Dentistry · NPI assigned 04/02/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$151K
Total Medicaid Paid
2,760
Total Claims
2,513
Beneficiaries
14
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialSUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date04/02/2007

Related Entities

Other providers sharing the same authorized official: SUMMERS, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH - CASTLE ROCK P.C. CASTLE ROCK CO $143K
PERFECT TEETH - 88TH & WADSWORTH P.C. ARVADA CO $119K
PERFECT TEETH - MONACO AND EVANS P.C. DENVER CO $119K
PERFECT TEETH - CHEYENNE MEADOWS P.C. COLORADO SPRINGS CO $65K
PERFECT TEETH - SMOKY HILL P.C. CENTENNIAL CO $52K
PERFECT TEETH - YALE P.C. DENVER CO $29K
PERFECT TEETH - EAST 104TH AVENUE P.C. THORNTON CO $26K
PERFECT TEETH - PACE P.C. LONGMONT CO $23K
MISSISSIPPI DENTAL GROUP P.C. AURORA CO $20K
PERFECT TEETH - WEST 120TH AVENUE P.C. BROOMFIELD CO $16K
PERFECT TEETH - WOODMAN VALLEY P.C. COLORADO SPRINGS CO $14K
PERFECT TEETH - LONGMONT P.C. LONGMONT CO $12K
PERFECT TEETH - LEETSDALE P.C. DENVER CO $7K
PERFECT TEETH - SOUTH HOLLY STREET P.C. CENTENNIAL CO $6K
PERFECT TEETH - LOVELAND P.C. LOVELAND CO $4K
PERFECT TEETH - BUCKLEY & QUINCY P.C. AURORA CO $4K
PERFECT TEETH - PLAZA DEL SOL P.C. SANTA FE NM $3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C. ARVADA CO $2K
PERFECT TEETH - ARAPAHOE P.C. CENTENNIAL CO $522.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,076 $57K
2019 1,166 $68K
2020 401 $21K
2021 80 $3K
2022 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 389 228 $53K
D0150 Comprehensive oral evaluation - new or established patient 615 614 $23K
D0210 Intraoral - complete series of radiographic images 269 267 $21K
D1110 Prophylaxis - adult 369 367 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 65 45 $9K
D0140 Limited oral evaluation - problem focused 275 268 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 63 41 $6K
D0120 Periodic oral evaluation - established patient 225 225 $5K
D0220 Intraoral - periapical first radiographic image 347 335 $4K
D4342 32 12 $3K
D1206 Topical application of fluoride varnish 75 75 $1K
D4910 12 12 $757.32
D0274 Bitewings - four radiographic images 12 12 $344.40
D0230 Intraoral - periapical each additional radiographic image 12 12 $264.44