Clinic
Willow Creek Perfect Teeth PC
Willow Creek Perfect Teeth PC was paid $730K by Medicaid between Jan 2021 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoWILLOW CREEK PERFECT TEETH PC
CENTENNIAL, CO 80112
CENTENNIAL, CO 80112
33aNPI1316553860assigned 09/21/2020
33bProvider typeDental Clinic/Center
28Total paid$730K
24GClaims23,193
24DCodes billed21
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#58 of 193
Median peer was paid$180K
This provider vs. median4.1×
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 | 4,918 | $170K | |
| 2022 | 6,404 | $166K | |
| 2023 | 6,850 | $213K | |
| 2024incomplete | 5,021 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 3,529 | 3,527 | $128K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 754 | 400 | $95K |
| D1206 | Topical application of fluoride varnish | 12% | 4,373 | 4,372 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,390 | 3,390 | $86K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 1,068 | 1,068 | $43K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 2,154 | 2,147 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 381 | 236 | $39K |
| D1110 | Prophylaxis - adult | 5.3% | 711 | 711 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 2,654 | 2,635 | $35K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 1,072 | 984 | $34K |
| D1351 | Sealant - per tooth | 3.1% | 657 | 198 | $23K |
| D0272 | Bitewings - two radiographic images | 2.8% | 946 | 946 | $20K |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.1% | 481 | $15K |
| D0350 | 1.7% | 399 | $13K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 57 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 65 | $6K |
| D0330 | Panoramic radiographic image | <1% | 93 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 253 | $4K |
| D0240 | <1% | 113 | $4K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 12 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | $1K |
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 officialBRION-MARTIN, DIANE (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Merit Dental INC. | Freeport, PA | $712.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.