Dental
Windsor Pediatric Dentistry PLLC
Windsor Pediatric Dentistry PLLC was paid $1.21M by Medicaid between Jan 2018 and Jul 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoWINDSOR PEDIATRIC DENTISTRY PLLC
WINDSOR, CO 80550
WINDSOR, CO 80550
33aNPI1053690651assigned 08/12/2011
33bProvider typePediatric Dentist
28Total paid$1.21M
24GClaims43,597
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#32 of 177
Median peer was paid$122K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2018 | 1,785 | $43K | |
| 2019 | 3,737 | $92K | |
| 2020 | 5,420 | $152K | |
| 2021 | 8,035 | $214K | |
| 2022 | 10,082 | $282K | |
| 2023 | 10,710 | $316K | |
| 2024incomplete | 3,828 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 7,699 | 7,678 | $259K |
| D1206 | Topical application of fluoride varnish | 18% | 10,990 | 10,965 | $215K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 8,795 | 8,770 | $212K |
| D1351 | Sealant - per tooth | 10% | 3,721 | 1,181 | $125K |
| D1110 | Prophylaxis - adult | 7.6% | 2,032 | 2,026 | $92K |
| D0272 | Bitewings - two radiographic images | 6.7% | 3,872 | 3,865 | $81K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 651 | 326 | $80K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 1,471 | 1,435 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,687 | 1,673 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 538 | 538 | $22K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 457 | 457 | $15K |
| D0274 | Bitewings - four radiographic images | 1.1% | 424 | 424 | $13K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 114 | $11K |
| D0330 | Panoramic radiographic image | <1% | 147 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 373 | $6K |
| D1354 | <1% | 595 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $423.96 |
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 officialSHONKA, JILL (OWNER/DOCTOR)