Dental
Pediatric Dental Specialists of Western Co
Pediatric Dental Specialists of Western Co was paid $6.74M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF WESTERN CO
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
33aNPI1407116825assigned 05/18/2012
33bProvider typePediatric Dentist
28Total paid$6.74M
24GClaims185,143
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#4 of 177
Median peer was paid$122K
This provider vs. median55×
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 | 25,924 | $950K | |
| 2019 | 31,049 | $1.18M | |
| 2020 | 31,241 | $1.14M | |
| 2021 | 35,887 | $1.31M | |
| 2022 | 35,495 | $1.25M | |
| 2023 | 17,590 | $580K | |
| 2024incomplete | 7,957 | $330K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 10,287 | 2,244 | $1.26M |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 32,868 | 32,445 | $1.11M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 29,534 | 29,154 | $714K |
| D1206 | Topical application of fluoride varnish | 10% | 34,972 | 34,507 | $681K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 4,164 | 2,244 | $546K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 3,931 | 2,198 | $400K |
| D0272 | Bitewings - two radiographic images | 4.0% | 12,921 | 12,749 | $272K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 10,266 | 10,056 | $253K |
| D1351 | Sealant - per tooth | 3.4% | 6,916 | 2,182 | $232K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 2,238 | 1,184 | $216K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 6,272 | 6,133 | $195K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 14,371 | 14,022 | $182K |
10 more codes
| D1110 | Prophylaxis - adult | 2.5% | 3,530 | $168K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 3,837 | $151K |
| D0330 | Panoramic radiographic image | 1.7% | 2,214 | $117K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 3,190 | $99K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,354 | $46K |
| D0274 | Bitewings - four radiographic images | <1% | 1,207 | $37K |
| D3120 | <1% | 784 | $29K | |
| D2934 | <1% | 161 | $26K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 99 | $8K |
| D9420 | <1% | 27 | $3K |
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 officialCOX, JEREMY (OWNER)