Clover Pediatric Dentistry PLLC

Clover Pediatric Dentistry PLLC was paid $89K by Medicaid between Sep 2021 and Dec 2024, across 9 billing codes. Its largest line is D0350, — 39% of everything it billed.

33Billing provider infoCLOVER PEDIATRIC DENTISTRY PLLC
ARVADA, CO 80005

33aNPI1497345839assigned 01/20/2021

33bProvider typePediatric Dentist

28Total paid$89K

24GClaims2,883

24DCodes billed9

24AFirst – last monthSep 2021 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Colorado

Rank by total paid#100 of 177

Median peer was paid$122K

This provider vs. median0.7×

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
2021	223	$7K
2022	774	$20K
2023	1,283	$38K
2024incomplete	603	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0350		39%	717	190	$35K
D1120	Dental cleaning, childProphylaxis - child	23%	561	561	$21K
D1206	Topical application of fluoride varnish	16%	683	683	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	387	387	$10K
D0230	Intraoral - periapical each additional radiographic image	4.5%	169	168	$4K
D0220	Intraoral - periapical first radiographic image	4.2%	287	282	$4K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	25	25	$976.51
D0272	Bitewings - two radiographic images	<1%	42	42	$890.33
D9219		<1%	12	12	$500.64

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 officialYIP, BETTY (OWNER, PEDIATRIC DENTIST)