Dental
Shadow Rock Dentist LLC
Shadow Rock Dentist LLC was paid $961K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D2394, — 28% of everything it billed.
33Billing provider infoSHADOW ROCK DENTIST LLC
CASTLE ROCK, CO 80104
CASTLE ROCK, CO 80104
33aNPI1346509429assigned 05/10/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$961K
24GClaims14,826
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#86 of 521
Median peer was paid$53K
This provider vs. median18×
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 | 2,801 | $194K | |
| 2019 | 2,144 | $120K | |
| 2020 | 2,568 | $154K | |
| 2021 | 2,666 | $186K | |
| 2022 | 2,709 | $177K | |
| 2023 | 1,228 | $74K | |
| 2024incomplete | 710 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2394 | 28% | 1,395 | 725 | $270K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 22% | 1,277 | 781 | $211K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 937 | 551 | $126K |
| D1110 | Prophylaxis - adult | 8.0% | 1,651 | 1,641 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 1,910 | 1,903 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 882 | 877 | $35K |
| D3910 | 3.4% | 361 | 83 | $33K | |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,065 | 1,063 | $32K |
| D0350 | 2.9% | 904 | 898 | $28K | |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 349 | 347 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 1,915 | 1,872 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 1,150 | 1,145 | $15K |
7 more codes
| D1206 | Topical application of fluoride varnish | <1% | 493 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 241 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 75 | $8K |
| D4342 | <1% | 84 | $8K | |
| D4910 | <1% | 109 | $7K | |
| D0460 | <1% | 15 | $407.82 | |
| D1120 | Dental cleaning, child | <1% | 13 | $386.88 |
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 officialKANCHANLAL, VIKASH (PRESIDENT)