Amazing Smiles

Amazing Smiles was paid $4.68M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.

33Billing provider infoAMAZING SMILES
WESTMINSTER, CO 80030

33aNPI1215253992assigned 04/20/2010

33bProvider typePreferred Provider Organization

28Total paid$4.68M

24GClaims145,211

24DCodes billed32

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Preferred Provider Organization providers in Colorado

Rank by total paid#2 of 7

Median peer was paid$588K

This provider vs. median8.0×

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	26,244	$761K
2019	24,659	$725K
2020	17,117	$511K
2021	21,225	$699K
2022	20,586	$695K
2023	19,746	$665K
2024incomplete	15,634	$627K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	4,850	3,333	$643K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	25,170	25,127	$596K
D1110	Prophylaxis - adult	11%	10,984	10,966	$505K
D1120	Dental cleaning, childProphylaxis - child	11%	15,217	15,191	$505K
D0230	Intraoral - periapical each additional radiographic image	7.2%	11,880	11,842	$337K
D1351	Sealant - per tooth	6.7%	8,859	3,757	$316K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.4%	8,134	7,852	$252K
D1208	Topical application of fluoride, excluding varnish	4.7%	19,292	19,277	$220K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.2%	1,886	1,428	$198K
D0220	Intraoral - periapical first radiographic image	3.7%	14,066	13,923	$173K
D0274	Bitewings - four radiographic images	3.5%	5,640	5,632	$165K
D1206	Topical application of fluoride varnish	2.9%	6,134	6,107	$135K

20 more codes

D0330	Panoramic radiographic image	2.1%	1,831	$96K
D2930	Prefabricated stainless steel crown - primary tooth	1.8%	687	$85K
D0272	Bitewings - two radiographic images	1.4%	3,259	$67K
D2150	Silver amalgam - two surfaces, primary or permanent	1.4%	649	$66K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.1%	321	$50K
D0210	Intraoral - complete series of radiographic images	<1%	2,072	$46K
D7140	Extraction, erupted tooth or exposed root	<1%	397	$38K
D3120		<1%	906	$33K
D7111		<1%	496	$30K
D0140	Limited oral evaluation - problem focused	<1%	828	$28K
D2140		<1%	279	$23K
D9310		<1%	536	$22K
D8670	Periodic orthodontic treatment visit	<1%	145	$18K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	208	$18K
D1353		<1%	181	$6K
D0150	Comprehensive oral evaluation - new or established patient	<1%	151	$6K
D0350		<1%	69	$2K
D2160		<1%	14	$2K
D0145	Oral evaluation for a patient under three years of age	<1%	55	$2K
D8660		<1%	15	$645.00

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 officialJORGENSEN-BLACKBURN, AMY (PRESIDENT/OWNER)