Sidwell, Stephen

Sidwell, Stephen was paid $52K by Medicaid between Feb 2018 and May 2019, across 10 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 17% of everything it billed.

33Billing provider infoSIDWELL, STEPHEN
LONGMONT, CO 80501

33aNPI1528204641assigned 12/18/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$52K

24GClaims1,393

24DCodes billed10

24AFirst – last monthFeb 2018 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#262 of 521

Median peer was paid$53K

This provider vs. median1.0×

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	844	$33K
2019	549	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	17%	112	106	$9K
D1110	Prophylaxis - adult	16%	212	207	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	58	33	$8K
D0150	Comprehensive oral evaluation - new or established patient	14%	200	192	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	285	268	$6K
D0274	Bitewings - four radiographic images	9.6%	178	168	$5K
D0220	Intraoral - periapical first radiographic image	6.2%	272	256	$3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	4.7%	17	14	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.2%	16	14	$2K
D0230	Intraoral - periapical each additional radiographic image	2.3%	43	42	$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.