Dental
Evergreen Dental Partners LLP
Evergreen Dental Partners LLP was paid $256K by Medicaid between Jan 2018 and Jun 2023, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoEVERGREEN DENTAL PARTNERS LLP
EVERGREEN, CO 80439
EVERGREEN, CO 80439
33aNPI1356621122assigned 08/24/2011
33bProvider typeDentist
28Total paid$256K
24GClaims5,688
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#109 of 344
Median peer was paid$45K
This provider vs. median5.7×
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 | 676 | $26K | |
| 2019 | 416 | $14K | |
| 2020 | 920 | $41K | |
| 2021 | 1,241 | $55K | |
| 2022 | 1,545 | $75K | |
| 2023 | 890 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 387 | 238 | $52K |
| D1110 | Prophylaxis - adult | 12% | 733 | 732 | $30K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 379 | 377 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 1,110 | 1,108 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 641 | 640 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.2% | 154 | 111 | $24K |
| D4342 | 7.9% | 226 | 98 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 1,049 | 1,022 | $13K |
| D0140 | Limited oral evaluation - problem focused | 4.9% | 377 | 370 | $13K |
| D0274 | Bitewings - four radiographic images | 4.3% | 386 | 386 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.9% | 32 | 24 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 38 | 12 | $3K |
4 more codes
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 officialROTOLO, GARY (PARTNER)