Clinic
Experience Dental PLLC
Experience Dental PLLC was paid $263K by Medicaid between Mar 2021 and Dec 2024, across 14 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 46% of everything it billed.
33Billing provider infoEXPERIENCE DENTAL PLLC
BOULDER, CO 80301
BOULDER, CO 80301
33aNPI1013568963assigned 09/23/2019
33bProvider typeDental Clinic/Center
28Total paid$263K
24GClaims2,346
24DCodes billed14
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#83 of 193
Median peer was paid$180K
This provider vs. median1.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 435 | $12K | |
| 2022 | 785 | $47K | |
| 2023 | 377 | $25K | |
| 2024incomplete | 749 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 46% | 147 | 62 | $120K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 260 | 87 | $34K |
| D1110 | Prophylaxis - adult | 11% | 520 | 519 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 186 | 54 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 380 | 377 | $16K |
| D2950 | 5.2% | 101 | 43 | $14K | |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 153 | 151 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 46 | 12 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 117 | 117 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 96 | 96 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 106 | 106 | $2K |
| D0460 | <1% | 64 | 64 | $2K |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialALTDORFER, JEREMY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Experience Dental 2 PLLC | Thornton, CO | $403K |
| Experience Dental Hygiene Practice 1 LLC | Boulder, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.