Dental
Mountain Kids Pediatric Dentistry
Mountain Kids Pediatric Dentistry was paid $773K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoMOUNTAIN KIDS PEDIATRIC DENTISTRY
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
33aNPI1568765105assigned 12/20/2010
33bProvider typePediatric Dentist
28Total paid$773K
24GClaims22,859
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#42 of 177
Median peer was paid$122K
This provider vs. median6.3×
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 | 449 | $10K | |
| 2019 | 1,213 | $32K | |
| 2020 | 1,783 | $50K | |
| 2021 | 2,272 | $60K | |
| 2022 | 3,976 | $116K | |
| 2023 | 6,568 | $242K | |
| 2024incomplete | 6,598 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 4,352 | 4,339 | $175K |
| D1206 | Topical application of fluoride varnish | 18% | 5,908 | 5,877 | $139K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,870 | 4,848 | $130K |
| D0272 | Bitewings - two radiographic images | 5.2% | 1,842 | 1,839 | $40K |
| D0350 | 5.1% | 692 | 684 | $39K | |
| D1110 | Prophylaxis - adult | 4.9% | 643 | 638 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 308 | 177 | $30K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 211 | 57 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 214 | 114 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 553 | 553 | $24K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 636 | 618 | $21K |
| D0240 | 2.5% | 516 | 516 | $19K |
11 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 165 | $17K |
| D1351 | Sealant - per tooth | 1.6% | 321 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 814 | $11K |
| D1354 | 1.1% | 246 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 234 | $5K |
| D0330 | Panoramic radiographic image | <1% | 76 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 75 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 85 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 44 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 42 | $822.81 |
| D9219 | <1% | 12 | $515.64 |
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 officialGUIDO, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Fort Collins Kids Dentistry | Fort Collins, CO | $3.52M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.