Dental
Stettler KR Broadmoor PLLC
Stettler KR Broadmoor PLLC was paid $1.50M by Medicaid between Jan 2021 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSTETTLER KR BROADMOOR PLLC
COLORADO SPRINGS, CO 80906
COLORADO SPRINGS, CO 80906
33aNPI1578181103assigned 07/09/2020
33bProvider typePediatric Dentist
28Total paid$1.50M
24GClaims43,878
24DCodes billed19
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#24 of 177
Median peer was paid$122K
This provider vs. median12×
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 | 6,886 | $217K | |
| 2022 | 9,799 | $309K | |
| 2023 | 14,550 | $475K | |
| 2024incomplete | 12,643 | $496K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 8,383 | 8,378 | $323K |
| D1206 | Topical application of fluoride varnish | 13% | 9,161 | 9,156 | $200K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 6,796 | 6,791 | $178K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 1,226 | 420 | $152K |
| D1351 | Sealant - per tooth | 6.7% | 2,782 | 797 | $100K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.5% | 2,805 | 2,801 | $97K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 1,921 | 1,920 | $79K |
| D1110 | Prophylaxis - adult | 3.9% | 1,082 | 1,082 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 1,731 | 1,686 | $56K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 3,756 | 3,723 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 435 | 266 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 374 | 222 | $37K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 2.1% | 848 | $31K |
| D0330 | Panoramic radiographic image | 2.0% | 563 | $30K |
| D0272 | Bitewings - two radiographic images | 1.2% | 820 | $18K |
| D0240 | <1% | 500 | $15K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 449 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 98 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 148 | $5K |
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 officialSTETTLER, CORBAN (OWNER/DDS)
| Provider | Location | Paid |
|---|---|---|
| Corban Stettler, DDS PC | Colorado Springs, CO | $4.39M |
| Stettler KR Union, PLLC | Colorado Springs, CO | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.