Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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INTEGRITY DENTAL OF BOULDER, LTD

NPI: 1790141539 · BOULDER, CO 80303 · Dental Clinic/Center · NPI assigned 01/09/2016

$965.74
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2019-03
First Month
2019-03
Last Month

Provider Details

Authorized OfficialSUMMERS, CORBETT (PRESIDENT)
NPI Enumeration Date01/09/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $965.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 13 13 $612.04
D0120 Periodic oral evaluation - established patient 14 14 $353.70