Dental
5280 Pediatric Dentistry
5280 Pediatric Dentistry was paid $226K by Medicaid between Feb 2018 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider info5280 PEDIATRIC DENTISTRY
LONE TREE, CO 80124
LONE TREE, CO 80124
33aNPI1467828905assigned 08/19/2015
33bProvider typePediatric Dentist
28Total paid$226K
24GClaims8,496
24DCodes billed10
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#72 of 177
Median peer was paid$122K
This provider vs. median1.8×
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 | 375 | $9K | |
| 2019 | 479 | $12K | |
| 2020 | 815 | $20K | |
| 2021 | 1,286 | $31K | |
| 2022 | 1,724 | $41K | |
| 2023 | 1,906 | $47K | |
| 2024incomplete | 1,911 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 2,297 | 2,271 | $83K |
| D1206 | Topical application of fluoride varnish | 27% | 2,981 | 2,950 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,295 | 2,282 | $58K |
| D0272 | Bitewings - two radiographic images | 2.4% | 255 | 251 | $5K |
| D1110 | Prophylaxis - adult | 2.1% | 80 | 80 | $5K |
| D0350 | 1.7% | 121 | 121 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 278 | 276 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 51 | 41 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 98 | 97 | $2K |
| D1351 | Sealant - per tooth | <1% | 40 | 12 | $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 officialOWENS, DEREK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Holistic Group INC. | Glen Burnie, MD | $1.77M |
| The Holistic Group INC. | Glen Burnie, MD | $276K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.