Wasatch Payroll LLC

Wasatch Payroll LLC was paid $529K by Medicaid between Jan 2018 and Nov 2022, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.

33Billing provider infoWASATCH PAYROLL LLC
COLORADO SPRINGS, CO 80906

33aNPI1114399888assigned 10/21/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$529K

24GClaims8,264

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#118 of 521

Median peer was paid$53K

This provider vs. median10×

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	2,237	$167K
2019	2,799	$183K
2020	1,381	$102K
2021	1,378	$63K
2022	469	$14K

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	28%	1,085	598	$149K
D2391	Resin-based composite - one surface, posterior, primary or permanent	14%	700	389	$75K
D7140	Extraction, erupted tooth or exposed root	11%	611	165	$59K
D1110	Prophylaxis - adult	10%	1,361	1,359	$55K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	7.1%	226	129	$38K
D0150	Comprehensive oral evaluation - new or established patient	6.5%	910	906	$34K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.7%	1,368	1,366	$30K
D0210	Intraoral - complete series of radiographic images	4.5%	327	323	$24K
D2752		4.4%	58	51	$23K
D0274	Bitewings - four radiographic images	1.9%	348	348	$10K
D0140	Limited oral evaluation - problem focused	1.4%	222	218	$7K
D0220	Intraoral - periapical first radiographic image	1.4%	597	572	$7K

7 more codes

D2950		1.4%	60	$7K
D1206	Topical application of fluoride varnish	<1%	262	$4K
D0330	Panoramic radiographic image	<1%	38	$2K
D2330		<1%	18	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	42	$1K
D4910		<1%	14	$874.72
D1120	Dental cleaning, child	<1%	17	$511.02

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 officialSEFCIK, BRADY (DDS)

Same official

Other billing entities under SEFCIK, BRADY

Full network →

Provider	Location	Paid
Montana Dental Group LLC	Polson, MT	$1.04M
Down to Earth Dentistry, LLC.	La Junta, CO	$285K

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