Dental
Lone Tree Pediatric Dentistry
Lone Tree Pediatric Dentistry was paid $226K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoLONE TREE PEDIATRIC DENTISTRY
LONE TREE, CO 80124
LONE TREE, CO 80124
33aNPI1215303854assigned 08/18/2015
33bProvider typePediatric Dentist
28Total paid$226K
24GClaims8,438
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#71 of 177
Median peer was paid$122K
This provider vs. median1.8×
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 | 274 | $7K | |
| 2019 | 206 | $5K | |
| 2020 | 1,274 | $32K | |
| 2021 | 1,640 | $42K | |
| 2022 | 1,814 | $47K | |
| 2023 | 1,601 | $45K | |
| 2024incomplete | 1,629 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 2,176 | 2,092 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,398 | 2,262 | $57K |
| D1206 | Topical application of fluoride varnish | 23% | 2,550 | 2,425 | $51K |
| D0272 | Bitewings - two radiographic images | 6.4% | 703 | 681 | $15K |
| D1351 | Sealant - per tooth | 5.3% | 279 | 72 | $12K |
| D1110 | Prophylaxis - adult | 5.3% | 231 | 223 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 26 | 13 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 28 | 28 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 32 | 32 | $427.75 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 15 | $190.48 |
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 officialMINER, NICHOLAS (DMD)