Dental
Pedo One, Prof. LLC
Pedo One, Prof. LLC was paid $223K by Medicaid between Jan 2018 and Jun 2018, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEDO ONE, PROF. LLC
THORNTON, CO 80229
THORNTON, CO 80229
33aNPI1588803324assigned 02/18/2009
33bProvider typePediatric Dentist
28Total paid$223K
24GClaims8,209
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#73 of 177
Median peer was paid$122K
This provider vs. median1.8×
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 | 8,209 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,159 | 1,159 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 197 | 118 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,124 | 1,124 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.2% | 1,268 | 1,244 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,317 | 1,309 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.0% | 129 | 38 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 136 | 81 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 925 | 925 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 341 | 325 | $10K |
| D0272 | Bitewings - two radiographic images | 4.4% | 490 | 490 | $10K |
| D1110 | Prophylaxis - adult | 4.3% | 239 | 239 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 61 | 46 | $6K |
8 more codes
| D0140 | Limited oral evaluation - problem focused | 2.2% | 148 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 163 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 119 | $4K |
| D0274 | Bitewings - four radiographic images | 1.6% | 128 | $4K |
| D1206 | Topical application of fluoride varnish | 1.6% | 217 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 21 | $2K |
| D9420 | <1% | 12 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $74.16 |
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 officialWEBB, MICHAEL (OFFICER)
| Provider | Location | Paid |
|---|---|---|
| North Smile PLLC | Thornton, CO | $4.83M |
| Medical Transportation Service LLC | Memphis, TN | $109K |
| City of Edwardsville KS | Edwardsville, KS | $11K |
| Psychiatry Associates of Eugene, PC | Eugene, OR | $10K |
| Audiological Services INC. | Red Oak, IA | $3K |
| Webb Foot and Ankle Clinic PC | Sevierville, TN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.