Clinic
Community Dental Clinic INC.
Community Dental Clinic INC. was paid $1.67M by Medicaid between Jan 2018 and Oct 2023, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCOMMUNITY DENTAL CLINIC INC.
MONTROSE, CO 81401
MONTROSE, CO 81401
33aNPI1235664707assigned 04/21/2017
33bProvider typeCommunity Health Clinic/Center
28Total paid$1.67M
24GClaims30,260
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Community Health Clinic/Center providers in Colorado
Rank by total paid#7 of 17
Median peer was paid$936K
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 | 6,404 | $339K | |
| 2019 | 6,705 | $367K | |
| 2020 | 4,965 | $313K | |
| 2021 | 4,780 | $271K | |
| 2022 | 3,450 | $228K | |
| 2023 | 3,956 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 40% | 7,426 | 6,406 | $674K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 8,946 | 7,543 | $606K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.4% | 996 | 420 | $90K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 922 | 771 | $81K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.1% | 989 | 507 | $69K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 711 | 400 | $39K |
| 96127 | 1.8% | 2,555 | 2,188 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 596 | 552 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,239 | 4,635 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 153 | 115 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 347 | 306 | $7K |
| 90686 | <1% | 399 | 362 | $6K |
13 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $6K |
| 83037 | <1% | 338 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 81 | $2K |
| 0011A | <1% | 61 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $2K |
| 0012A | <1% | 73 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | $958.81 |
| 81002 | <1% | 263 | $672.39 | |
| 93000 | <1% | 13 | $290.45 | |
| 80061 | Lipid panel | <1% | 13 | $197.65 |
| 99406 | <1% | 21 | $186.80 | |
| 92015 | Determination of refractive state | <1% | 12 | $38.80 |
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, MELANIE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Dental Clinic, INC. | Montrose, CO | $1.12M |
| Hospice of Huntington, INC | Huntington, WV | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.