Dental
Fun at the Dentist Professional LLC
Fun at the Dentist Professional LLC was paid $42K by Medicaid between Jan 2021 and Jan 2021, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoFUN AT THE DENTIST PROFESSIONAL LLC
GRAND JCT, CO 81501
GRAND JCT, CO 81501
33aNPI1316541733assigned 11/25/2020
33bProvider typePediatric Dentist
28Total paid$42K
24GClaims924
24DCodes billed21
24AFirst – last monthJan 2021 – Jan 2021
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#122 of 177
Median peer was paid$122K
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 | |
|---|---|---|---|
| 2021 | 924 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 56 | 39 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 53 | 20 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 41 | 27 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 79 | 79 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 91 | 91 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 12 | 12 | $2K |
| D1110 | Prophylaxis - adult | 4.6% | 47 | 47 | $2K |
| D1206 | Topical application of fluoride varnish | 4.6% | 107 | 107 | $2K |
| D1351 | Sealant - per tooth | 4.5% | 55 | 14 | $2K |
| D0330 | Panoramic radiographic image | 4.3% | 36 | 36 | $2K |
| D0274 | Bitewings - four radiographic images | 3.8% | 57 | 57 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 39 | 39 | $2K |
9 more codes
| D0180 | 2.9% | 31 | $1K | |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 36 | $1K |
| D4910 | 2.8% | 19 | $1K | |
| D4346 | 2.6% | 25 | $1K | |
| D0272 | Bitewings - two radiographic images | 1.7% | 35 | $726.60 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 55 | $673.06 |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 19 | $592.06 |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 13 | $558.22 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18 | $266.42 |
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 officialWHITE, MARY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Promise Pride Enterprises, INC. | Baker, LA | $1.59M |
| Your Journey, LLC | Caribou, ME | $674K |
| Clarendon Cisd | Clarendon, TX | $107K |
| Promise Pride Enterprises INC | Baker, LA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.