Dental
Old Town Dental LLC
Old Town Dental LLC was paid $36K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 66% of everything it billed.
33Billing provider infoOLD TOWN DENTAL LLC
LITTLETON, CO 80120
LITTLETON, CO 80120
33aNPI1306125182assigned 08/10/2011
33bProvider typeDentist
28Total paid$36K
24GClaims1,135
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#183 of 344
Median peer was paid$45K
This provider vs. median0.8×
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 | 49 | $1K | |
| 2019 | 76 | $3K | |
| 2020 | 218 | $7K | |
| 2021 | 278 | $8K | |
| 2022 | 311 | $9K | |
| 2023 | 133 | $4K | |
| 2024incomplete | 70 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 66% | 553 | 550 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 531 | 527 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 51 | 51 | $577.88 |
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 officialMALOY, SHAWN (DENTIST)