Dental
South Greeley, Prof. LLC
South Greeley, Prof. LLC was paid $2.87M by Medicaid between Mar 2018 and Nov 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoSOUTH GREELEY, PROF. LLC
GREELEY, CO 80631
GREELEY, CO 80631
33aNPI1053811463assigned 02/13/2018
33bProvider typeDentist
28Total paid$2.87M
24GClaims35,968
24DCodes billed21
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#25 of 344
Median peer was paid$45K
This provider vs. median64×
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 | 2,974 | $239K | |
| 2019 | 5,934 | $573K | |
| 2020 | 5,547 | $465K | |
| 2021 | 5,333 | $320K | |
| 2022 | 5,509 | $281K | |
| 2023 | 6,511 | $467K | |
| 2024incomplete | 4,160 | $526K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 5,141 | 2,297 | $687K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 3,574 | 1,275 | $373K |
| D2740 | Crown - porcelain/ceramic | 10% | 523 | 374 | $299K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.2% | 1,638 | 895 | $264K |
| D2332 | 8.3% | 1,586 | 542 | $237K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 5,069 | 5,039 | $196K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 2,282 | 2,263 | $178K |
| D1110 | Prophylaxis - adult | 4.7% | 3,110 | 3,092 | $134K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 663 | 386 | $106K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 2,693 | 2,656 | $94K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 2,432 | 2,429 | $57K |
| D2950 | 1.9% | 426 | 303 | $55K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 4,372 | $53K |
| D0274 | Bitewings - four radiographic images | 1.4% | 1,370 | $40K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 394 | $37K |
| D2331 | <1% | 216 | $26K | |
| D2335 | <1% | 123 | $20K | |
| D2394 | <1% | 42 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 262 | $7K |
| D1120 | Dental cleaning, child | <1% | 27 | $831.87 |
| D1206 | Topical application of fluoride varnish | <1% | 25 | $410.16 |
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 officialBOYER, JARUM (DENTIST/OWNER)