Clinic
4 Corners Dentistry LLC
4 Corners Dentistry LLC was paid $585K by Medicaid between Sep 2018 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider info4 CORNERS DENTISTRY LLC
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1487134987assigned 08/15/2018
33bProvider typeDental Clinic/Center
28Total paid$585K
24GClaims11,847
24DCodes billed17
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#61 of 193
Median peer was paid$180K
This provider vs. median3.3×
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 | 369 | $23K | |
| 2019 | 1,761 | $108K | |
| 2020 | 1,852 | $106K | |
| 2021 | 2,350 | $123K | |
| 2022 | 1,891 | $77K | |
| 2023 | 2,377 | $98K | |
| 2024incomplete | 1,247 | $50K |
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 | 26% | 1,145 | 623 | $152K |
| D7140 | Extraction, erupted tooth or exposed root | 19% | 1,133 | 398 | $110K |
| D1110 | Prophylaxis - adult | 13% | 1,658 | 1,573 | $79K |
| D0140 | Limited oral evaluation - problem focused | 8.1% | 1,417 | 1,329 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 1,189 | 1,165 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 1,534 | 1,445 | $38K |
| D0330 | Panoramic radiographic image | 5.6% | 642 | 637 | $33K |
| D0274 | Bitewings - four radiographic images | 3.0% | 605 | 593 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 1,270 | 1,210 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 300 | 277 | $11K |
| D1206 | Topical application of fluoride varnish | 1.6% | 446 | 419 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 53 | 31 | $9K |
5 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 69 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 206 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 132 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 36 | $2K |
| D4910 | <1% | 12 | $820.13 |
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 officialARTER, SCOTT (OWNER/DENTIST)