Dental
Pediatric Dental Group of Lafayette
Pediatric Dental Group of Lafayette was paid $344K by Medicaid between Jul 2018 and Nov 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL GROUP OF LAFAYETTE
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
33aNPI1326211863assigned 04/04/2008
33bProvider typePediatric Dentist
28Total paid$344K
24GClaims12,823
24DCodes billed9
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#62 of 177
Median peer was paid$122K
This provider vs. median2.8×
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 | 901 | $21K | |
| 2019 | 2,022 | $50K | |
| 2020 | 2,046 | $53K | |
| 2021 | 2,536 | $64K | |
| 2022 | 2,851 | $75K | |
| 2023 | 1,441 | $38K | |
| 2024incomplete | 1,026 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 2,982 | 2,978 | $102K |
| D1206 | Topical application of fluoride varnish | 25% | 4,323 | 4,315 | $86K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 3,204 | 3,197 | $78K |
| D1110 | Prophylaxis - adult | 9.6% | 707 | 707 | $33K |
| D0272 | Bitewings - two radiographic images | 6.0% | 981 | 979 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 442 | 442 | $18K |
| D0330 | Panoramic radiographic image | <1% | 64 | 64 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 64 | 60 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 56 | 56 | $2K |
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 officialHARTSHORN, NICOLE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Group of Lakewood | Lakewood, CO | $3.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.