Dental
Children's Dentistry, Boulder
Children's Dentistry, Boulder was paid $18K by Medicaid between Mar 2023 and Nov 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoCHILDREN'S DENTISTRY, BOULDER
BOULDER, CO 80301
BOULDER, CO 80301
33aNPI1578284550assigned 09/07/2022
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims586
24DCodes billed7
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#138 of 177
Median peer was paid$122K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 263 | $6K | |
| 2024incomplete | 323 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 142 | 141 | $6K |
| D1206 | Topical application of fluoride varnish | 33% | 246 | 243 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 117 | 117 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 26 | 26 | $1K |
| D0272 | Bitewings - two radiographic images | 3.1% | 26 | 26 | $565.76 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 13 | 13 | $259.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 16 | 16 | $207.20 |
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 officialWHALEN, SEAN (OWNER/PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Whalen Medical Corporation | Los Angeles, CA | $212K |
| Fife School District | Tacoma, WA | $86K |
| Flexogenix North Carolina PC | Charlotte, NC | $13K |
| Flexogenix North Carolina, PC | Greensboro, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.