Dental
Retro Dental Broomfield DBD, LLC
Retro Dental Broomfield DBD, LLC was paid $16K by Medicaid between Jun 2019 and Jul 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoRETRO DENTAL BROOMFIELD DBD, LLC
BROOMFIELD, CO 80020
BROOMFIELD, CO 80020
33aNPI1205312469assigned 07/11/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims577
24DCodes billed8
24AFirst – last monthJun 2019 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#345 of 521
Median peer was paid$53K
This provider vs. median0.3×
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 | 307 | $8K | |
| 2020 | 111 | $3K | |
| 2021 | 159 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 166 | 162 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 139 | 135 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 133 | 125 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 42 | 39 | $2K |
| D0140 | Limited oral evaluation - problem focused | 7.1% | 34 | 34 | $1K |
| D1206 | Topical application of fluoride varnish | 2.5% | 24 | 24 | $397.44 |
| D0274 | Bitewings - four radiographic images | 2.4% | 13 | 13 | $373.10 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 26 | 26 | $325.98 |
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 officialHOUSER, JAMIN (CHIEF DENTAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Retro Dental Aurora DBD, LLC | Aurora, CO | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.