Dental
A Kidz Clinic
A Kidz Clinic was paid $67K by Medicaid between Dec 2021 and Nov 2024, across 8 billing codes. Its largest line is D0350, — 42% of everything it billed.
33Billing provider infoA KIDZ CLINIC
DELTA, CO 81416
DELTA, CO 81416
33aNPI1093472268assigned 11/23/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$67K
24GClaims1,544
24DCodes billed8
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#250 of 521
Median peer was paid$53K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2021 | 34 | $660.94 | |
| 2022 | 114 | $2K | |
| 2023 | 361 | $8K | |
| 2024incomplete | 1,035 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0350 | 42% | 179 | 161 | $28K | |
| D1206 | Topical application of fluoride varnish | 19% | 606 | 574 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 263 | 248 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 356 | 346 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 64 | 57 | $3K |
| D1110 | Prophylaxis - adult | 2.2% | 15 | 15 | $1K |
| D0391 | 1.8% | 14 | 14 | $1K | |
| D0190 | <1% | 47 | 34 | $473.31 |
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 officialDOCKTER, DIANE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| A Kidz Clinic | Delta, CO | $406K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.