MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI: 1982258653
· BOULDER, CO 80302
· General Practice Dentistry
· NPI assigned 07/30/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official JOHNSON, MICHELLE controls 15+ related entities in our dataset. Read more
Provider Details
| Authorized Official | JOHNSON, MICHELLE (CREDENTIALING SPECIALIST) |
| Parent Organization | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| NPI Enumeration Date | 07/30/2019 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$331.50 |
| 2020 |
616 |
$17K |
| 2021 |
895 |
$28K |
| 2022 |
474 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
621 |
619 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
586 |
582 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
38 |
26 |
$5K |
| D0274 |
Bitewings - four radiographic images |
156 |
156 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
355 |
353 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
176 |
176 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
44 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$603.24 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$393.72 |