Dental
Sage Dentistry IV PLLC
Sage Dentistry IV PLLC was paid $75K by Medicaid between Jan 2018 and Apr 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoSAGE DENTISTRY IV PLLC
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
33aNPI1154869121assigned 02/09/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims1,778
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#241 of 521
Median peer was paid$53K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 144 | $5K | |
| 2019 | 209 | $7K | |
| 2020 | 258 | $12K | |
| 2021 | 762 | $33K | |
| 2022 | 405 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 646 | 642 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 123 | 70 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 329 | 329 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 116 | 115 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 333 | 330 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 145 | 143 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 57 | 57 | $1K |
| D0274 | Bitewings - four radiographic images | 1.1% | 29 | 29 | $855.36 |
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 officialPOLLACK, SAGE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sage Dentistry V PLLC | Lakewood, CO | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.