Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Family & Kids Dental PC

Family & Kids Dental PC was paid $4.87M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.

33Billing provider infoFAMILY & KIDS DENTAL PC
PUEBLO, CO 81001
33aNPI1578822375assigned 05/14/2012
28Total paid$4.87M
24GClaims127,872
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#17 of 521
Median peer was paid$53K
This provider vs. median93×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201823,555$892K
201921,260$770K
202019,590$749K
202119,512$744K
202217,594$689K
202315,690$584K
2024incomplete10,671$441K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 14% 4,961 3,397 $665K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 23,264 23,231 $541K
D1110 Prophylaxis - adult 11% 12,154 12,138 $530K
D1120 Dental cleaning, childProphylaxis - child 9.3% 13,761 13,741 $454K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8.8% 4,092 2,900 $427K
D2930 Prefabricated stainless steel crown - primary tooth 8.5% 3,342 1,313 $414K
D7140 Extraction, erupted tooth or exposed root 5.7% 2,808 1,662 $279K
D0274 Bitewings - four radiographic images 5.2% 8,652 8,640 $253K
D1208 Topical application of fluoride, excluding varnish 4.0% 16,478 16,455 $197K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.9% 6,017 5,716 $187K
D1206 Topical application of fluoride varnish 2.5% 5,981 5,972 $124K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.3% 682 591 $110K
12 more codes
D1351 Sealant - per tooth 2.3% 3,178 $110K
D0220 Intraoral - periapical first radiographic image 1.9% 7,347 $92K
D0150 Comprehensive oral evaluation - new or established patient 1.8% 2,272 $90K
D0140 Limited oral evaluation - problem focused 1.8% 2,564 $86K
D0272 Bitewings - two radiographic images 1.7% 4,122 $85K
D0330 Panoramic radiographic image 1.1% 1,049 $56K
D0230 Intraoral - periapical each additional radiographic image 1.0% 2,802 $50K
D0210 Intraoral - complete series of radiographic images <1% 663 $37K
D0145 Oral evaluation for a patient under three years of age <1% 1,164 $37K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 427 $36K
D9420 <1% 70 $8K
D4342 <1% 22 $2K

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 officialLOOMIS, ANDREW (OWNER)