Dental
80TH and Sheridan Dental Prof LLC
80TH and Sheridan Dental Prof LLC was paid $1.11M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider info80TH AND SHERIDAN DENTAL PROF LLC
WESTMINSTER, CO 80003
WESTMINSTER, CO 80003
33aNPI1194966382assigned 03/17/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$1.11M
24GClaims33,390
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#77 of 521
Median peer was paid$53K
This provider vs. median21×
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 | 3,708 | $133K | |
| 2019 | 4,499 | $170K | |
| 2020 | 5,261 | $162K | |
| 2021 | 6,279 | $215K | |
| 2022 | 5,611 | $173K | |
| 2023 | 4,791 | $151K | |
| 2024incomplete | 3,241 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 5,009 | 4,907 | $212K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,248 | 3,173 | $126K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 4,964 | 4,859 | $114K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 1,468 | 1,431 | $112K |
| D0274 | Bitewings - four radiographic images | 9.5% | 3,631 | 3,569 | $105K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.4% | 4,511 | 4,282 | $104K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 6,602 | 6,368 | $81K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 513 | 303 | $70K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 2,084 | 2,031 | $70K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.7% | 192 | 139 | $30K |
| D2740 | Crown - porcelain/ceramic | 2.7% | 51 | 40 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 278 | 153 | $29K |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 166 | $16K |
| D1206 | Topical application of fluoride varnish | <1% | 386 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 246 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $3K |
| D1120 | Dental cleaning, child | <1% | 24 | $714.24 |
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 officialCUBILLOS, CONSTANZA (OWNER/PARTNER)