Dental
Tequila Sunrise Broomfield PLLC
Tequila Sunrise Broomfield PLLC was paid $181K by Medicaid between May 2023 and Dec 2024, across 15 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 43% of everything it billed.
33Billing provider infoTEQUILA SUNRISE BROOMFIELD PLLC
BROOMFIELD, CO 80020
BROOMFIELD, CO 80020
33aNPI1124793476assigned 08/10/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$181K
24GClaims1,979
24DCodes billed15
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#178 of 521
Median peer was paid$53K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2023 | 1,158 | $104K | |
| 2024incomplete | 821 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 43% | 146 | 87 | $77K |
| D0380 | 12% | 157 | 157 | $22K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.8% | 99 | 65 | $16K |
| D0140 | Limited oral evaluation - problem focused | 7.8% | 371 | 367 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 212 | 211 | $10K |
| D2950 | 4.6% | 62 | 37 | $8K | |
| D0383 | 4.6% | 59 | 59 | $8K | |
| D1110 | Prophylaxis - adult | 4.5% | 154 | 153 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 474 | 459 | $6K |
| D0330 | Panoramic radiographic image | 2.4% | 84 | 84 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 16 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 1.0% | 60 | 60 | $2K |
3 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 officialDHAWAN, KAUSHAL (DENTIST)