Clinic
Mod LLC
Mod LLC was paid $2.36M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoMOD LLC
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
33aNPI1346679321assigned 11/11/2013
33bProvider typeDental Clinic/Center
28Total paid$2.36M
24GClaims77,775
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#22 of 193
Median peer was paid$180K
This provider vs. median13×
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 | 11,068 | $353K | |
| 2019 | 11,082 | $339K | |
| 2020 | 10,075 | $312K | |
| 2021 | 11,641 | $360K | |
| 2022 | 12,245 | $335K | |
| 2023 | 10,921 | $288K | |
| 2024incomplete | 10,743 | $370K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 10,286 | 10,269 | $358K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 14,544 | 14,528 | $353K |
| D1206 | Topical application of fluoride varnish | 13% | 15,964 | 15,941 | $312K |
| D1110 | Prophylaxis - adult | 11% | 5,320 | 5,313 | $249K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 1,429 | 932 | $195K |
| D1351 | Sealant - per tooth | 6.5% | 4,325 | 1,493 | $154K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 1,160 | 852 | $123K |
| D0272 | Bitewings - two radiographic images | 4.2% | 4,724 | 4,715 | $99K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 3,103 | 2,946 | $97K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 5,574 | 5,526 | $72K |
| D0274 | Bitewings - four radiographic images | 3.0% | 2,344 | 2,342 | $71K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 4,469 | 4,442 | $66K |
9 more codes
| D0330 | Panoramic radiographic image | 2.1% | 936 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 962 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 351 | $35K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 208 | $29K |
| D1354 | 1.0% | 1,034 | $24K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 673 | $21K |
| D0140 | Limited oral evaluation - problem focused | <1% | 238 | $8K |
| D1353 | <1% | 106 | $4K | |
| D0270 | <1% | 25 | $314.00 |
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 officialMILMONT, LUKE (PEDIATRIC DENTIST)