Medicaid Provider Spending

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

PERFECT TEETH - EAST 104TH AVENUE P.C.

NPI: 1922128859 · THORNTON, CO 80233 · General Practice Dentistry · NPI assigned 04/02/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more

$26K
Total Medicaid Paid
404
Total Claims
365
Beneficiaries
7
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSUMMERS, LAURIE (CREDENTIALING)
NPI Enumeration Date04/02/2007

Related Entities

Other providers sharing the same authorized official: SUMMERS, LAURIE

ProviderCityStateTotal Paid
PERFECT TEETH - GARDEN OF THE GODS P.C. COLORADO SPRINGS CO $151K
PERFECT TEETH - CASTLE ROCK P.C. CASTLE ROCK CO $143K
PERFECT TEETH - 88TH & WADSWORTH P.C. ARVADA CO $119K
PERFECT TEETH - MONACO AND EVANS P.C. DENVER CO $119K
PERFECT TEETH - CHEYENNE MEADOWS P.C. COLORADO SPRINGS CO $65K
PERFECT TEETH - SMOKY HILL P.C. CENTENNIAL CO $52K
PERFECT TEETH - YALE P.C. DENVER CO $29K
PERFECT TEETH - PACE P.C. LONGMONT CO $23K
MISSISSIPPI DENTAL GROUP P.C. AURORA CO $20K
PERFECT TEETH - WEST 120TH AVENUE P.C. BROOMFIELD CO $16K
PERFECT TEETH - WOODMAN VALLEY P.C. COLORADO SPRINGS CO $14K
PERFECT TEETH - LONGMONT P.C. LONGMONT CO $12K
PERFECT TEETH - LEETSDALE P.C. DENVER CO $7K
PERFECT TEETH - SOUTH HOLLY STREET P.C. CENTENNIAL CO $6K
PERFECT TEETH - LOVELAND P.C. LOVELAND CO $4K
PERFECT TEETH - BUCKLEY & QUINCY P.C. AURORA CO $4K
PERFECT TEETH - PLAZA DEL SOL P.C. SANTA FE NM $3K
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C. ARVADA CO $2K
PERFECT TEETH - ARAPAHOE P.C. CENTENNIAL CO $522.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47 $2K
2021 14 $541.24
2022 12 $473.16
2023 287 $21K
2024 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 175 175 $7K
D0210 Intraoral - complete series of radiographic images 76 75 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 33 14 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 19 12 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 24 12 $3K
D0120 Periodic oral evaluation - established patient 61 61 $1K
D0140 Limited oral evaluation - problem focused 16 16 $562.95