Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Mountain Valley Kids Dental, PLLC

Mountain Valley Kids Dental, PLLC was paid $185K by Medicaid between Jul 2018 and Nov 2021, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.

33Billing provider infoMOUNTAIN VALLEY KIDS DENTAL, PLLC
EDWARDS, CO 81632
33aNPI1083113765assigned 02/07/2018
33bProvider typeDentist
28Total paid$185K
24GClaims5,306
24DCodes billed16
24AFirst – last monthJul 2018 – Nov 2021
Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#122 of 344
Median peer was paid$45K
This provider vs. median4.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201828$757.68
20191,163$48K
20201,932$75K
20212,183$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 28% 366 140 $51K
D0350 22% 1,088 622 $41K
D1120 Dental cleaning, childProphylaxis - child 15% 853 831 $28K
D1206 Topical application of fluoride varnish 11% 1,094 1,062 $21K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.5% 503 495 $12K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 237 227 $10K
D0272 Bitewings - two radiographic images 3.6% 316 312 $7K
D1354 2.6% 584 145 $5K
D9248 1.8% 24 24 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.2% 20 13 $2K
D0274 Bitewings - four radiographic images <1% 49 49 $2K
D1110 Prophylaxis - adult <1% 26 26 $1K
4 more codes
D0220 Intraoral - periapical first radiographic image <1% 84 $1K
D0230 Intraoral - periapical each additional radiographic image <1% 36 $609.62
D0240 <1% 13 $483.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 13 $397.93

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 officialTOBLER, D. (OWNER)
Same official

Other billing entities under TOBLER, D.

Full network →
ProviderLocationPaid
Tobler Dental, PLLCMontrose, CO$2.40M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.