Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Open and Affordable Dental at LA Salle, PLLC

Open and Affordable Dental at LA Salle, PLLC was paid $578K by Medicaid between Oct 2018 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.

33Billing provider infoOPEN AND AFFORDABLE DENTAL AT LA SALLE, PLLC
LA SALLE, CO 80645
33aNPI1477042216assigned 05/08/2018
33bProvider typeDentist
28Total paid$578K
24GClaims12,377
24DCodes billed22
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#74 of 344
Median peer was paid$45K
This provider vs. median13×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201812$452.64
2019737$33K
20201,664$75K
20213,353$174K
20222,989$131K
20232,184$86K
2024incomplete1,438$79K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 14% 1,823 1,815 $82K
D0330 Panoramic radiographic image 14% 1,558 1,549 $80K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 483 297 $64K
D0140 Limited oral evaluation - problem focused 11% 1,786 1,715 $63K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 8.9% 336 213 $52K
D0150 Comprehensive oral evaluation - new or established patient 7.6% 1,111 1,096 $44K
D2740 Crown - porcelain/ceramic 7.1% 78 56 $41K
D0274 Bitewings - four radiographic images 7.1% 1,386 1,381 $41K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.4% 1,545 1,544 $37K
D0350 4.2% 508 493 $24K
D1120 Dental cleaning, childProphylaxis - child 1.7% 304 300 $10K
D0220 Intraoral - periapical first radiographic image 1.5% 694 671 $9K
10 more codes
D1206 Topical application of fluoride varnish 1.5% 438 $8K
D4342 1.3% 84 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.1% 60 $6K
D2394 <1% 23 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 14 $2K
D0460 <1% 78 $2K
D4910 <1% 15 $960.60
D9310 <1% 15 $518.70
D0230 Intraoral - periapical each additional radiographic image <1% 13 $164.17
D0383 0% 25 $0.00

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 officialSTOTT, JASON (OWNER)
Same official

Other billing entities under STOTT, JASON

Full network →

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