Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PERFECT TEETH - EAST 104TH AVENUE P.C.
NPI: 1922128859 · THORNTON, CO 80233 ·
1223G0001X
$26K
Total Medicaid Paid
404
Total Claims
365
Beneficiaries
7
Codes Billed
2018-05
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
47
$2K
2021
14
$541.24
2022
12
$473.16
2023
287
$21K
2024
44
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
175
175
$7K
D0210
76
75
$7K
D2392
33
14
$4K
D2393
19
12
$3K
D2391
24
12
$3K
D0120
61
61
$1K
D0140
16
16
$562.95