Dental
Pedo Three, Prof. LLC
Pedo Three, Prof. LLC was paid $5.86M by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoPEDO THREE, PROF. LLC
CENTENNIAL, CO 80122
CENTENNIAL, CO 80122
33aNPI1114166857assigned 02/18/2009
33bProvider typeDentist
28Total paid$5.86M
24GClaims138,052
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#7 of 344
Median peer was paid$45K
This provider vs. median130×
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 | 30,104 | $1.36M | |
| 2019 | 35,456 | $1.59M | |
| 2020 | 36,972 | $1.58M | |
| 2021 | 24,558 | $1.03M | |
| 2022 | 4,500 | $111K | |
| 2023 | 4,227 | $99K | |
| 2024incomplete | 2,235 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 8,101 | 2,203 | $996K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 5,462 | 2,460 | $753K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 17,034 | 16,866 | $541K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 3,644 | 2,004 | $356K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 14,529 | 14,464 | $335K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 2,870 | 1,561 | $305K |
| D1351 | Sealant - per tooth | 4.8% | 8,215 | 2,369 | $279K |
| D1110 | Prophylaxis - adult | 3.3% | 4,476 | 4,460 | $191K |
| D1206 | Topical application of fluoride varnish | 3.2% | 10,377 | 10,100 | $185K |
| D2934 | 3.0% | 1,048 | 286 | $176K | |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 2,695 | 2,669 | $170K |
| D0272 | Bitewings - two radiographic images | 2.7% | 7,761 | 7,709 | $160K |
25 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 5,215 | $160K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 1,859 | $157K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 12,062 | $150K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 3,825 | $148K |
| D9420 | 1.7% | 909 | $100K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 7,854 | $97K |
| D0240 | 1.6% | 4,852 | $93K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 3,380 | $64K |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 1,947 | $61K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 1,782 | $60K |
| D3120 | <1% | 1,570 | $57K | |
| D9219 | <1% | 1,247 | $50K | |
| D2330 | <1% | 373 | $36K | |
| D0350 | <1% | 558 | $31K | |
| D0274 | Bitewings - four radiographic images | <1% | 973 | $28K |
| D2332 | <1% | 129 | $19K | |
| D0330 | Panoramic radiographic image | <1% | 365 | $19K |
| D1510 | <1% | 128 | $18K | |
| D0190 | <1% | 1,021 | $17K | |
| D0170 | <1% | 517 | $16K | |
| D2331 | <1% | 102 | $12K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 50 | $8K |
| D1354 | <1% | 1,070 | $7K | |
| D3230 | <1% | 40 | $5K | |
| D9995 | <1% | 12 | $180.95 |
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 officialFLAKE, COLTON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| CDK Pedo Thornton, PLLC | Northglenn, CO | $1.17M |
| Pedo Two, Prof. LLC | Lakewood, CO | $679K |
| Pedo Four, Prof. LLC | Aurora, CO | $528K |
| Aurora Pedo Dental, PLLC | Aurora, CO | $74K |
| Brighton Pedo Dental, PLLC | Brighton, CO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.