Medicaid Provider Spending

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

PRACTICE 32 LLC

NPI: 1881396794 · COLORADO SPRINGS, CO 80919 · Dental Hygienist · NPI assigned 03/22/2023

$31K
Total Medicaid Paid
552
Total Claims
551
Beneficiaries
8
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHANNON, OLIVIA (OWNER)
NPI Enumeration Date03/22/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 51 $2K
2024 501 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0180 197 196 $9K
D0210 Intraoral - complete series of radiographic images 102 102 $9K
D1110 Prophylaxis - adult 81 81 $8K
D1206 Topical application of fluoride varnish 113 113 $5K
D0120 Periodic oral evaluation - established patient 14 14 $536.90
D0274 Bitewings - four radiographic images 15 15 $436.80
D0230 Intraoral - periapical each additional radiographic image 15 15 $422.72
D0220 Intraoral - periapical first radiographic image 15 15 $198.15