Medicaid Provider Spending

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

BOULDER DENTAL CENTER FOOTHILLS PC

NPI: 1851938518 · BOULDER, CO 80301 · Dentist · NPI assigned 12/02/2019

$22K
Total Medicaid Paid
482
Total Claims
482
Beneficiaries
7
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialABBOUD, DANNY (PRESIDENT)
NPI Enumeration Date12/02/2019

Related Entities

Other providers sharing the same authorized official: ABBOUD, DANNY

ProviderCityStateTotal Paid
BOULDER DENTAL CENTER, P.C BOULDER CO $363K
LITTLETON DENTAL LITTLETON CO $283K
BOULDER DENTAL CENTER ARAPAHOE,P.C BOULDER CO $210K
ENGLEWOOD DENTAL CENTER PC ENGLEWOOD CO $101K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 181 $6K
2022 115 $4K
2024 186 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 260 260 $15K
D0150 Comprehensive oral evaluation - new or established patient 38 38 $2K
D0274 Bitewings - four radiographic images 58 58 $2K
D0120 Periodic oral evaluation - established patient 59 59 $1K
D0330 Panoramic radiographic image 12 12 $649.56
D0220 Intraoral - periapical first radiographic image 43 43 $542.72
D0230 Intraoral - periapical each additional radiographic image 12 12 $147.84