Dental
Pediatric Dentistry of the Rockies PLLC
Pediatric Dentistry of the Rockies PLLC was paid $2.13M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF THE ROCKIES PLLC
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
33aNPI1144498999assigned 02/14/2008
33bProvider typePediatric Dentist
28Total paid$2.13M
24GClaims45,194
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#17 of 177
Median peer was paid$122K
This provider vs. median17×
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 | 6,127 | $359K | |
| 2019 | 5,551 | $232K | |
| 2020 | 6,195 | $276K | |
| 2021 | 8,620 | $450K | |
| 2022 | 8,293 | $370K | |
| 2023 | 6,550 | $251K | |
| 2024incomplete | 3,858 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 5,575 | 1,148 | $703K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 6,903 | 6,798 | $243K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,765 | 711 | $225K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 8,769 | 8,666 | $219K |
| D1206 | Topical application of fluoride varnish | 8.9% | 9,130 | 9,001 | $189K |
| D1110 | Prophylaxis - adult | 5.2% | 2,252 | 2,226 | $110K |
| D0272 | Bitewings - two radiographic images | 3.7% | 3,756 | 3,686 | $79K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,802 | 1,762 | $70K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.6% | 158 | 148 | $56K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 518 | 284 | $50K |
| D1351 | Sealant - per tooth | 2.2% | 1,363 | 373 | $47K |
| D2933 | 1.3% | 162 | 39 | $27K |
11 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 776 | $24K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 242 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 170 | $17K |
| D9222 | <1% | 144 | $15K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,104 | $14K |
| D0240 | <1% | 213 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 124 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 44 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 142 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 70 | $2K |
| D0330 | Panoramic radiographic image | <1% | 12 | $597.36 |
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 officialVAN TASSELL, KEITH (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| PDR Greeley PLLC | Greeley, CO | $1.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.