Clinic
Pueblo West Neighborhood Dental
Pueblo West Neighborhood Dental was paid $221K by Medicaid between Jan 2018 and May 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoPUEBLO WEST NEIGHBORHOOD DENTAL
PUEBLO WEST, CO 81007
PUEBLO WEST, CO 81007
33aNPI1073039756assigned 08/15/2017
33bProvider typeDental Clinic/Center
28Total paid$221K
24GClaims6,773
24DCodes billed17
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#94 of 193
Median peer was paid$180K
This provider vs. median1.2×
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 | 722 | $23K | |
| 2019 | 1,756 | $90K | |
| 2020 | 1,187 | $31K | |
| 2021 | 930 | $22K | |
| 2022 | 868 | $20K | |
| 2023 | 1,009 | $27K | |
| 2024incomplete | 301 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 1,198 | 1,187 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,170 | 1,155 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 184 | 97 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 8.7% | 1,556 | 1,486 | $19K |
| D2740 | Crown - porcelain/ceramic | 7.0% | 35 | 26 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 959 | 937 | $15K |
| D0350 | 5.5% | 386 | 377 | $12K | |
| D0274 | Bitewings - four radiographic images | 4.4% | 338 | 331 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.4% | 58 | 37 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 243 | 243 | $9K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 196 | 193 | $7K |
| D0460 | 2.4% | 202 | 197 | $5K |
5 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 officialROSS, TAYLOR (DR.)