Dental
Rocky Mountain Pediatric Dentistry, PLLC
Rocky Mountain Pediatric Dentistry, PLLC was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC
COLORADO SPRINGS, CO 80908
COLORADO SPRINGS, CO 80908
33aNPI1609100437assigned 09/26/2009
33bProvider typePediatric Dentist
28Total paid$1.48M
24GClaims55,579
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#25 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 | |
|---|---|---|---|
| 2018 | 7,127 | $171K | |
| 2019 | 7,719 | $189K | |
| 2020 | 8,917 | $247K | |
| 2021 | 9,635 | $246K | |
| 2022 | 9,106 | $233K | |
| 2023 | 8,373 | $218K | |
| 2024incomplete | 4,702 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 12,138 | 12,117 | $409K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 12,627 | 12,602 | $301K |
| D1206 | Topical application of fluoride varnish | 19% | 14,347 | 14,313 | $277K |
| D0272 | Bitewings - two radiographic images | 7.9% | 5,582 | 5,575 | $116K |
| D1110 | Prophylaxis - adult | 7.7% | 2,535 | 2,526 | $114K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 399 | 197 | $50K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 1,397 | 1,348 | $43K |
| D0330 | Panoramic radiographic image | 2.5% | 735 | 735 | $38K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,849 | 2,831 | $36K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 723 | 721 | $23K |
| D1351 | Sealant - per tooth | 1.2% | 517 | 138 | $17K |
| D0274 | Bitewings - four radiographic images | 1.1% | 538 | 535 | $16K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 714 | $12K |
| D0240 | <1% | 282 | $10K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 52 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 91 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 26 | $3K |
| D9248 | <1% | 14 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $690.82 |
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 officialTONN, JANELLE (OWNER)