Woodmoor Dental

Woodmoor Dental was paid $31K by Medicaid between Sep 2019 and Jun 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoWOODMOOR DENTAL
MONUMENT, CO 80132

33aNPI1194299941assigned 01/15/2019

33bProvider typeDentist

28Total paid$31K

24GClaims915

24DCodes billed8

24AFirst – last monthSep 2019 – Jun 2021

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#190 of 344

Median peer was paid$45K

This provider vs. median0.7×

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
2019	25	$1K
2020	488	$17K
2021	402	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	353	353	$14K
D0274	Bitewings - four radiographic images	18%	193	193	$5K
D0150	Comprehensive oral evaluation - new or established patient	14%	112	112	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	152	152	$3K
D0330	Panoramic radiographic image	9.5%	59	59	$3K
D0140	Limited oral evaluation - problem focused	1.4%	13	13	$426.53
D1206	Topical application of fluoride varnish	<1%	16	16	$262.24
D0220	Intraoral - periapical first radiographic image	<1%	17	17	$204.34

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 officialHALL, VALERIE (BUSINESS MANAGER)