PEDIATRIC DENTICARE, P.C.
NPI: 1982826517
· CASTLE ROCK, CO 80109
· Pediatric Dentist
· NPI assigned 05/03/2007
$198K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAH, PURVI (PRESIDENT) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: SHAH, PURVI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
968 |
$23K |
| 2019 |
983 |
$26K |
| 2020 |
981 |
$27K |
| 2021 |
1,131 |
$30K |
| 2022 |
1,167 |
$32K |
| 2023 |
1,067 |
$29K |
| 2024 |
772 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,462 |
2,441 |
$61K |
| D1120 |
Prophylaxis - child |
1,385 |
1,371 |
$49K |
| D1206 |
Topical application of fluoride varnish |
2,031 |
2,010 |
$40K |
| D1110 |
Prophylaxis - adult |
728 |
722 |
$36K |
| D0274 |
Bitewings - four radiographic images |
177 |
177 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
209 |
205 |
$3K |
| D1351 |
Sealant - per tooth |
52 |
16 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$485.20 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$416.49 |