Dental Lifeline Network Colorado

Dental Lifeline Network Colorado was paid $146K by Medicaid between Jan 2018 and Oct 2019, across 6 billing codes. Its largest line is D9410, — 87% of everything it billed.

33Billing provider infoDENTAL LIFELINE NETWORK COLORADO
DENVER, CO 80202

33aNPI1396033684assigned 07/20/2011

33bProvider typeVoluntary or Charitable Agency

28Total paid$146K

24GClaims2,152

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Voluntary or Charitable Agency providers in Colorado

Rank by total paid#7 of 10

Median peer was paid$232K

This provider vs. median0.6×

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	1,707	$111K
2019	445	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9410		87%	1,414	1,314	$127K
D1110	Prophylaxis - adult	4.6%	178	176	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.5%	238	236	$5K
D1206	Topical application of fluoride varnish	2.6%	227	223	$4K
D0140	Limited oral evaluation - problem focused	1.8%	83	81	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$452.64

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 officialBOSWORTH, MELISSA (VICE PRESIDENT AFFILIATE OPERATIONS)

Parent organizationDENTAL LIFELINE NETWORK