Dental
Pediatric Dental Specialists of Montrose, PLLC
Pediatric Dental Specialists of Montrose, PLLC was paid $1.26M by Medicaid between Jan 2023 and Dec 2024, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF MONTROSE, PLLC
MONTROSE, CO 81401
MONTROSE, CO 81401
33aNPI1598475907assigned 11/28/2022
33bProvider typePediatric Dentist
28Total paid$1.26M
24GClaims25,900
24DCodes billed21
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#30 of 177
Median peer was paid$122K
This provider vs. median10×
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 | 13,729 | $608K | |
| 2024incomplete | 12,171 | $656K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 1,293 | 358 | $188K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,229 | 631 | $158K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 3,475 | 3,475 | $152K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 1,130 | 596 | $114K |
| D1206 | Topical application of fluoride varnish | 8.2% | 4,114 | 4,114 | $104K |
| D7140 | Extraction, erupted tooth or exposed root | 7.7% | 952 | 471 | $97K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 2,669 | 2,669 | $79K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,459 | 1,459 | $62K |
| D1110 | Prophylaxis - adult | 3.7% | 785 | 785 | $46K |
| D1351 | Sealant - per tooth | 3.5% | 1,048 | 397 | $44K |
| D0272 | Bitewings - two radiographic images | 3.3% | 1,854 | 1,854 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 850 | 841 | $28K |
9 more codes
| D0330 | Panoramic radiographic image | 2.1% | 473 | $26K |
| D0350 | 2.1% | 293 | $26K | |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 1,898 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 1,240 | $22K |
| D0274 | Bitewings - four radiographic images | 1.3% | 511 | $16K |
| D3120 | <1% | 326 | $13K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 201 | $8K |
| D9420 | <1% | 62 | $7K | |
| D2934 | <1% | 38 | $7K |
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 officialCOX, KARI (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Specialists of Western Co | Fruita, CO | $642K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.