Dental
PDSC PC
PDSC PC was paid $3.98M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 46% of everything it billed.
33Billing provider infoPDSC PC
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1154879344assigned 09/15/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$3.98M
24GClaims37,932
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#25 of 521
Median peer was paid$53K
This provider vs. median76×
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 | 3,315 | $397K | |
| 2019 | 3,370 | $365K | |
| 2020 | 3,213 | $318K | |
| 2021 | 7,594 | $745K | |
| 2022 | 5,730 | $590K | |
| 2023 | 8,232 | $844K | |
| 2024incomplete | 6,478 | $722K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 46% | 14,264 | 2,655 | $1.84M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 16% | 7,332 | 1,889 | $641K |
| D7240 | Removal of impacted tooth - completely bony | 13% | 1,837 | 569 | $502K |
| D2934 | 6.7% | 1,519 | 496 | $266K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 1,030 | 458 | $140K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,598 | 2,585 | $103K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 970 | 401 | $98K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 917 | 440 | $96K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.3% | 314 | 293 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 2,263 | 2,257 | $76K |
| D1206 | Topical application of fluoride varnish | 1.0% | 2,167 | 2,158 | $40K |
| D9222 | <1% | 301 | 291 | $28K |
12 more codes
| D0272 | Bitewings - two radiographic images | <1% | 874 | $19K |
| D9219 | <1% | 334 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 551 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 350 | $5K |
| D1351 | Sealant - per tooth | <1% | 120 | $4K |
| D0350 | <1% | 98 | $4K | |
| D7961 | <1% | 12 | $2K | |
| D1510 | <1% | 15 | $2K | |
| D9243 | <1% | 12 | $2K | |
| D2330 | <1% | 18 | $2K | |
| D9239 | <1% | 12 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 24 | $272.52 |
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 officialBIELECKI, PAWEL (OW)
| Provider | Location | Paid |
|---|---|---|
| Yah Ortho INC | Pueblo, CO | $5.68M |
| Sweet Tooth Dental, PC | Alamosa, CO | $5.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.