Southern Colorado Ute Service Unit

Southern Colorado Ute Service Unit was paid $710K by Medicaid between Jan 2018 and Oct 2023, across 13 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 91% of everything it billed.

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	652	$171K
2019	1,057	$315K
2020	15	$7K
2021	95	$23K
2022	110	$68K
2023	237	$126K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0999	Unspecified diagnostic procedure, by report	91%	1,336	977	$647K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	45	37	$17K
90686		1.4%	26	26	$10K
D0140	Limited oral evaluation - problem focused	1.4%	149	118	$10K
D1206	Topical application of fluoride varnish	<1%	164	128	$6K
D0220	Intraoral - periapical first radiographic image	<1%	303	227	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	25	25	$5K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	22	12	$3K
D0330	Panoramic radiographic image	<1%	21	12	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	26	14	$2K
D1110	Prophylaxis - adult	<1%	22	12	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	13	13	$702.00

1 more codes

90480

0%

14

$0.00

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 officialLANSING, LUCY (BUSINESS OFFICE MANAGER)