Clinic
Front Range Pediatric Dentistry, PLLC
Front Range Pediatric Dentistry, PLLC was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoFRONT RANGE PEDIATRIC DENTISTRY, PLLC
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
33aNPI1285021543assigned 04/23/2015
33bProvider typeDental Clinic/Center
28Total paid$2.60M
24GClaims63,042
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#18 of 193
Median peer was paid$180K
This provider vs. median14×
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 | 4,936 | $247K | |
| 2019 | 7,182 | $295K | |
| 2020 | 10,011 | $397K | |
| 2021 | 11,389 | $462K | |
| 2022 | 10,649 | $420K | |
| 2023 | 10,248 | $398K | |
| 2024incomplete | 8,627 | $382K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 3,112 | 1,266 | $393K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 8,814 | 8,782 | $310K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 2,310 | 1,500 | $309K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 10,043 | 10,012 | $248K |
| D1206 | Topical application of fluoride varnish | 9.5% | 12,371 | 12,333 | $247K |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 1,472 | 948 | $146K |
| D1351 | Sealant - per tooth | 4.9% | 3,494 | 1,022 | $128K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 1,197 | 663 | $125K |
| D1110 | Prophylaxis - adult | 4.7% | 2,484 | 2,483 | $122K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 3,536 | 3,304 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 1,266 | 1,261 | $99K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 1,997 | 1,994 | $81K |
14 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 3,323 | $70K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 3,093 | $39K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 937 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,000 | $30K |
| D0274 | Bitewings - four radiographic images | 1.0% | 870 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 286 | $24K |
| D0240 | <1% | 827 | $16K | |
| D7111 | <1% | 82 | $16K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 406 | $13K |
| D2934 | <1% | 47 | $6K | |
| D3230 | <1% | 33 | $4K | |
| D9420 | <1% | 16 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 13 | $726.92 |
| D9310 | <1% | 13 | $513.63 |
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 officialMILLER, DEREK (OWNER)