MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI: 1790339463
· LAFAYETTE, CO 80026
· General Practice Dentistry
· NPI assigned 07/30/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official JOHNSON, MICHELLE controls 15+ related entities in our dataset. Read more
Provider Details
| Authorized Official | JOHNSON, MICHELLE (CREDENTIALING SPECIALIST) |
| Parent Organization | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| NPI Enumeration Date | 07/30/2019 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
179 |
$5K |
| 2020 |
867 |
$29K |
| 2021 |
907 |
$28K |
| 2022 |
562 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
948 |
924 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
906 |
886 |
$21K |
| D0274 |
Bitewings - four radiographic images |
337 |
323 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
99 |
99 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
186 |
181 |
$2K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$703.78 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$426.31 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$168.97 |