Dental
Jorgensen, Erin
Jorgensen, Erin was paid $22K by Medicaid between Sep 2019 and Jun 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoJORGENSEN, ERIN
PUEBLO WEST, CO 81007
PUEBLO WEST, CO 81007
33aNPI1043796428assigned 07/18/2018
33bProvider typeDentist
28Total paid$22K
24GClaims1,095
24DCodes billed8
24AFirst – last monthSep 2019 – Jun 2021
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#208 of 344
Median peer was paid$45K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2019 | 558 | $11K | |
| 2020 | 203 | $4K | |
| 2021 | 334 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 224 | 202 | $8K |
| D1206 | Topical application of fluoride varnish | 24% | 214 | 202 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 169 | 142 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 78 | 78 | $2K |
| D0274 | Bitewings - four radiographic images | 5.2% | 96 | 87 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 160 | 145 | $716.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 129 | 105 | $583.30 |
| D0330 | Panoramic radiographic image | 1.7% | 25 | 24 | $384.20 |
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.