Dental
Creekside Dental LLC
Creekside Dental LLC was paid $10K by Medicaid between Apr 2018 and Sep 2024, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 63% of everything it billed.
33Billing provider infoCREEKSIDE DENTAL LLC
SHERIDAN, WY 82801
SHERIDAN, WY 82801
33aNPI1285982025assigned 08/28/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims237
24DCodes billed2
24AFirst – last monthApr 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#27 of 64
Median peer was paid$6K
This provider vs. median1.6×
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 | 12 | $550.00 | |
| 2019 | 12 | $600.00 | |
| 2021 | 13 | $633.75 | |
| 2023 | 63 | $3K | |
| 2024incomplete | 137 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 63% | 125 | 119 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 112 | 108 | $4K |
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 officialMCCOLLEY, JOSEPH (OWNER/DENTIST)