COMFORT DENTAL WEST ARVADA
NPI: 1992892582
· ARVADA, CO 80004
· Dentist
· NPI assigned 10/06/2006
$145K
Total Medicaid Paid
Provider Details
| Authorized Official | MAYO, JAMES (DENTIST PARTNER) |
| NPI Enumeration Date | 10/06/2006 |
Related Entities
Other providers sharing the same authorized official: MAYO, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
316 |
$10K |
| 2019 |
496 |
$14K |
| 2020 |
413 |
$12K |
| 2021 |
369 |
$12K |
| 2022 |
797 |
$30K |
| 2023 |
1,110 |
$33K |
| 2024 |
497 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,536 |
1,505 |
$70K |
| D0120 |
Periodic oral evaluation - established patient |
843 |
821 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
323 |
313 |
$12K |
| D0274 |
Bitewings - four radiographic images |
354 |
341 |
$10K |
| D2740 |
Crown - porcelain/ceramic |
19 |
12 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
641 |
603 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
48 |
31 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
168 |
155 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
42 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
24 |
$661.36 |