NPI: 1821642596 · PUEBLO, CO 81008 · General Practice Dentistry · NPI assigned 07/30/2019
Authorized official JOHNSON, MICHELLE controls 15+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, MICHELLE (CREDENTIALING SPECIALIST) |
| Parent Organization | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| NPI Enumeration Date | 07/30/2019 |
Other providers sharing the same authorized official: JOHNSON, MICHELLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| BASECAMP RECOVERY LLC | COLUMBUS | OH | $14.19M |
| CAIRN RECOVERY RESOURCES LLC | ZANESVILLE | OH | $4.65M |
| TRANSITIONING HOME INC | DENVER | CO | $1.64M |
| COLORADO DENTAL SPECIALIST PRACTICE, LLC | COLORADO SPRINGS | CO | $1.39M |
| BASECAMP RECOVERY LLC | COLUMBUS | OH | $766K |
| TRANSITIONING HOME INC | DENVER | CO | $350K |
| WINONA COUNSELING CLINIC, INC. | WINONA | MN | $133K |
| MARSHALLTOWN FAMILY DENTISTRY | MARSHALLTOWN | IA | $123K |
| MY LOCAL COLORADO DENTAL PRACTICE, LLC | LAFAYETTE | CO | $81K |
| COLORADO DENTAL SPECIALIST PRACTICE, LLC | COLORADO SPRINGS | CO | $65K |
| COLORADO DENTAL SPECIALIST PRACTICE, LLC | COLORADO SPRINGS | CO | $60K |
| MY LOCAL COLORADO DENTAL PRACTICE, LLC | BOULDER | CO | $58K |
| MICHELLE C. JOHNSON L.C.S.W. | WILMINGTON | DE | $22K |
| CHARLES CITY COUNTY BOARD OF SUPERVISORS | CHARLES CITY | VA | $12K |
| MY LOCAL COLORADO DENTAL PRACTICE, LLC | COLORADO SPRINGS | CO | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 106 | $3K |
| 2021 | 519 | $15K |
| 2022 | 826 | $27K |
| 2023 | 1,282 | $37K |
| 2024 | 1,591 | $90K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,332 | 1,314 | $69K |
| D0120 | Periodic oral evaluation - established patient | 1,117 | 1,096 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 506 | 502 | $22K |
| D2740 | Crown - porcelain/ceramic | 31 | 27 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 127 | 123 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 785 | 767 | $10K |
| D0274 | Bitewings - four radiographic images | 136 | 134 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24 | 16 | $3K |
| D0140 | Limited oral evaluation - problem focused | 65 | 64 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 201 | 199 | $3K |