Southpark Orthodontics

Southpark Orthodontics was paid $36K by Medicaid between Jan 2018 and Jul 2019, across 12 billing codes. Its largest line is D8660, — 23% of everything it billed.

33Billing provider infoSOUTHPARK ORTHODONTICS
LITTLETON, CO 80120

33aNPI1255488508assigned 01/05/2007

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$36K

24GClaims958

24DCodes billed12

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Colorado

Rank by total paid#69 of 105

Median peer was paid$110K

This provider vs. median0.3×

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	876	$31K
2019	82	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8660		23%	61	61	$8K
D1110	Prophylaxis - adult	23%	202	201	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	222	222	$5K
D0330	Panoramic radiographic image	8.3%	58	57	$3K
D0274	Bitewings - four radiographic images	7.9%	97	96	$3K
D0340		7.2%	45	45	$3K
D1206	Topical application of fluoride varnish	6.2%	134	132	$2K
D0350		4.8%	55	54	$2K
D1120	Dental cleaning, childProphylaxis - child	2.5%	30	30	$892.80
D0140	Limited oral evaluation - problem focused	1.1%	12	12	$389.88
D0220	Intraoral - periapical first radiographic image	<1%	30	29	$354.10
D0230	Intraoral - periapical each additional radiographic image	<1%	12	12	$273.70

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 officialKO, JENNIFER (OFFICE MANAGER)