INTEGRITY DENTAL OF BOULDER, LTD
NPI: 1790141539
· BOULDER, CO 80303
· 261QD0000X
$965.74
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$965.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
13 |
13 |
$612.04 |
| D0120 |
|
14 |
14 |
$353.70 |