Sandoval, Dean

Sandoval, Dean was paid $12K by Medicaid between Jan 2018 and Dec 2022, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.

33Billing provider infoSANDOVAL, DEAN
CANON CITY, CO 81212

33aNPI1255419479assigned 11/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims356

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#377 of 521

Median peer was paid$53K

This provider vs. median0.2×

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	133	$4K
2019	153	$5K
2020	27	$855.14
2022	43	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	61%	163	160	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	193	189	$5K

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.