Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BRIGHTON PEDO DENTAL, PLLC

NPI: 1851140024 · BRIGHTON, CO 80601 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/17/2024

$5K
Total Medicaid Paid
110
Total Claims
110
Beneficiaries
7
Codes Billed
2024-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLAKE, COLTON (MANAGING PARTNER)
NPI Enumeration Date05/17/2024

Related Entities

Other providers sharing the same authorized official: FLAKE, COLTON

ProviderCityStateTotal Paid
PEDO THREE, PROF. LLC CENTENNIAL CO $5.86M
CDK PEDO THORNTON, PLLC NORTHGLENN CO $1.17M
PEDO TWO, PROF. LLC LAKEWOOD CO $679K
PEDO FOUR, PROF. LLC AURORA CO $528K
AURORA PEDO DENTAL, PLLC AURORA CO $74K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 110 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 17 17 $2K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $976.48
D1120 Prophylaxis - child 12 12 $876.48
D1206 Topical application of fluoride varnish 19 19 $797.24
D0240 16 16 $336.00
D0220 Intraoral - periapical first radiographic image 17 17 $224.57
D0230 Intraoral - periapical each additional radiographic image 13 13 $171.73