Alamosa Family Dental LLC

Alamosa Family Dental LLC was paid $875K by Medicaid between Jan 2018 and Aug 2022, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.

33Billing provider infoALAMOSA FAMILY DENTAL LLC
ALAMOSA, CO 81101

33aNPI1386162329assigned 08/30/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$875K

24GClaims13,948

24DCodes billed18

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#96 of 521

Median peer was paid$53K

This provider vs. median17×

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	3,367	$250K
2019	4,099	$285K
2020	2,892	$165K
2021	2,749	$142K
2022	841	$32K

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	25%	1,602	924	$220K
D7140	Extraction, erupted tooth or exposed root	20%	1,797	569	$173K
D2391	Resin-based composite - one surface, posterior, primary or permanent	14%	1,162	671	$124K
D1110	Prophylaxis - adult	9.4%	1,985	1,970	$82K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	1,566	1,558	$59K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	6.7%	362	264	$59K
D0210	Intraoral - complete series of radiographic images	5.1%	645	641	$44K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.4%	1,704	1,689	$39K
D0140	Limited oral evaluation - problem focused	2.2%	579	564	$19K
D0274	Bitewings - four radiographic images	2.1%	629	623	$18K
D0220	Intraoral - periapical first radiographic image	1.7%	1,215	1,189	$15K
D0330	Panoramic radiographic image	1.1%	192	191	$10K

6 more codes

D0230	Intraoral - periapical each additional radiographic image	<1%	382	$7K
D2332		<1%	18	$2K
D1120	Dental cleaning, child	<1%	67	$2K
D2331		<1%	18	$2K
D0272	Bitewings - two radiographic images	<1%	13	$269.04
D1206	Topical application of fluoride varnish	<1%	12	$196.68

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 officialOLSON, MICHELLE (REGIONAL HUMAN RESOURCE DIRECTOR)

Same official

Other billing entities under OLSON, MICHELLE

Full network →

Provider	Location	Paid
Taos County Dental LLC	Taos, NM	$134K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.