Leadville Dental Center LLC

Leadville Dental Center LLC was paid $11K by Medicaid between Feb 2018 and May 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 69% of everything it billed.

33Billing provider infoLEADVILLE DENTAL CENTER LLC
LEADVILLE, CO 80461

33aNPI1346687985assigned 05/22/2013

33bProvider typeDentist

28Total paid$11K

24GClaims499

24DCodes billed3

24AFirst – last monthFeb 2018 – May 2023

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#235 of 344

Median peer was paid$45K

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
2018	52	$1K
2019	132	$3K
2020	155	$4K
2021	105	$2K
2022	42	$908.64
2023	13	$319.57

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	69%	335	335	$8K
D1120	Dental cleaning, childProphylaxis - child	18%	64	64	$2K
D1208	Topical application of fluoride, excluding varnish	13%	100	100	$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 officialSCHAMBERGER, LANCE (OWENER)