HOPE PEDIATRIC DENTISTRY, PLLC
NPI: 1801352851
· WESTMINSTER, CO 80031
· Dental Clinic/Center
· NPI assigned 02/14/2019
$273K
Total Medicaid Paid
Provider Details
| Authorized Official | PHILLIPS, LISA (FOUNDER PEDIATRIC DENTIST) |
| NPI Enumeration Date | 02/14/2019 |
Related Entities
Other providers sharing the same authorized official: PHILLIPS, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
118 |
$4K |
| 2021 |
1,071 |
$30K |
| 2022 |
1,787 |
$47K |
| 2023 |
2,702 |
$99K |
| 2024 |
2,837 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,803 |
1,721 |
$67K |
| D0350 |
|
680 |
318 |
$57K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,177 |
940 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,850 |
1,779 |
$40K |
| D0120 |
Periodic oral evaluation - established patient |
1,407 |
1,338 |
$35K |
| D0220 |
Intraoral - periapical first radiographic image |
1,241 |
1,169 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
250 |
250 |
$10K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
82 |
78 |
$3K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$686.24 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$251.92 |