Medicaid Provider Spending

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

DAVID BRYANT DDS PLLC

NPI: 1932658853 · DENVER, CO 80204 · General Practice Dentistry · NPI assigned 10/04/2016

$7K
Total Medicaid Paid
119
Total Claims
106
Beneficiaries
7
Codes Billed
2020-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBRYANT, DAVID (OWNER)
NPI Enumeration Date10/04/2016

Related Entities

Other providers sharing the same authorized official: BRYANT, DAVID

ProviderCityStateTotal Paid
FOOTHILLS FAMILY DENTISTRY CHESNEE SC $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 69 $5K
2024 50 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 29 16 $4K
D1110 Prophylaxis - adult 13 13 $1K
D0330 Panoramic radiographic image 15 15 $754.05
D0274 Bitewings - four radiographic images 25 25 $725.03
D0120 Periodic oral evaluation - established patient 13 13 $458.94
D0220 Intraoral - periapical first radiographic image 12 12 $155.92
D0230 Intraoral - periapical each additional radiographic image 12 12 $155.92