Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Perfect Teeth - East 104TH Avenue P.C.

Perfect Teeth - East 104TH Avenue P.C. was paid $26K by Medicaid between May 2018 and Oct 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.

33Billing provider infoPERFECT TEETH - EAST 104TH AVENUE P.C.
THORNTON, CO 80233
33aNPI1922128859assigned 04/02/2007
28Total paid$26K
24GClaims404
24DCodes billed7
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#315 of 521
Median peer was paid$53K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SUMMERS, LAURIE controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201847$2K
202114$541.24
202212$473.16
2023287$21K
2024incomplete44$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 28% 175 175 $7K
D0210 Intraoral - complete series of radiographic images 26% 76 75 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16% 33 14 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12% 19 12 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 10.0% 24 12 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.6% 61 61 $1K
D0140 Limited oral evaluation - problem focused 2.2% 16 16 $562.95

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSUMMERS, LAURIE (CREDENTIALING)
Same official

Other billing entities under SUMMERS, LAURIE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.