Medicaid Provider Spending

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

NPI: 1942864509 · ENGLEWOOD, CO 80113 · General Practice Dentistry · NPI assigned 04/29/2019

$2K
Total Medicaid Paid
50
Total Claims
50
Beneficiaries
2
Codes Billed
2020-11
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSTANGL, CHELSEA (OWNER)
NPI Enumeration Date04/29/2019

Related Entities

Other providers sharing the same authorized official: STANGL, CHELSEA

ProviderCityStateTotal Paid
CHICKEN SKIER PC CRESTED BUTTE CO $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $528.08
2021 12 $452.64
2023 24 $548.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 26 26 $980.72
D0120 Periodic oral evaluation - established patient 24 24 $548.88