WILD FOR A SMILE
NPI: 1821162470
· GREELEY, CO 80634
· Pediatric Dentist
· NPI assigned 11/17/2006
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | DOLL, LEAH (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 11/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$563.04 |
| 2020 |
371 |
$8K |
| 2021 |
770 |
$17K |
| 2022 |
1,339 |
$30K |
| 2023 |
1,511 |
$34K |
| 2024 |
1,451 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,386 |
1,370 |
$48K |
| D1206 |
Topical application of fluoride varnish |
1,771 |
1,750 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
1,425 |
1,403 |
$34K |
| D0272 |
Bitewings - two radiographic images |
668 |
657 |
$14K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
131 |
118 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
30 |
26 |
$1K |
| D0240 |
|
13 |
13 |
$254.80 |