Medicaid Provider Spending

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

NICKEL STREET DENTAL PC

NPI: 1932559721 · BROOMFIELD, CO 80020 · General Practice Dentistry · NPI assigned 06/13/2016

$3K
Total Medicaid Paid
69
Total Claims
68
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-08
Last Month

Provider Details

Authorized OfficialCOOPER, TACI (OFFICE MANAGER)
NPI Enumeration Date06/13/2016

Related Entities

Other providers sharing the same authorized official: COOPER, TACI

ProviderCityStateTotal Paid
HORIZON DENTAL PC SALIDA CO $1.37M
ICONIC DENTAL INC WALSENBURG CO $104K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 44 43 $2K
D1110 Prophylaxis - adult 25 25 $1K