Clinic
Restore Dental PLLC
Restore Dental PLLC was paid $65K by Medicaid between Sep 2021 and Dec 2023, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoRESTORE DENTAL PLLC
HIGHLANDS RANCH, CO 80126
HIGHLANDS RANCH, CO 80126
33aNPI1508445271assigned 04/07/2021
33bProvider typeDental Clinic/Center
28Total paid$65K
24GClaims2,198
24DCodes billed10
24AFirst – last monthSep 2021 – Dec 2023
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#125 of 193
Median peer was paid$180K
This provider vs. median0.4×
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 | 432 | $13K | |
| 2022 | 1,142 | $33K | |
| 2023 | 624 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 427 | 426 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 653 | 652 | $15K |
| D1206 | Topical application of fluoride varnish | 15% | 561 | 561 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 210 | 210 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 50 | 25 | $6K |
| D0274 | Bitewings - four radiographic images | 9.6% | 208 | 208 | $6K |
| D0330 | Panoramic radiographic image | 3.1% | 39 | 39 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $463.92 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | 26 | $326.82 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | 12 | $251.40 |
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 officialCHIU, DAVID (OWNER)