Clinic
Olson Family Dental PLLC
Olson Family Dental PLLC was paid $29K by Medicaid between Mar 2022 and Apr 2023, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoOLSON FAMILY DENTAL PLLC
WESTMINSTER, CO 80020
WESTMINSTER, CO 80020
33aNPI1619586294assigned 07/29/2020
33bProvider typeDental Clinic/Center
28Total paid$29K
24GClaims628
24DCodes billed10
24AFirst – last monthMar 2022 – Apr 2023
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#143 of 193
Median peer was paid$180K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 254 | $12K | |
| 2023 | 374 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 151 | 151 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 36 | 14 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 27 | 14 | $4K |
| D0140 | Limited oral evaluation - problem focused | 14% | 117 | 114 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 41 | 40 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 150 | 144 | $2K |
| D0330 | Panoramic radiographic image | 6.2% | 34 | 34 | $2K |
| D1110 | Prophylaxis - adult | 5.8% | 40 | 40 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 17 | 17 | $444.44 |
| D0270 | <1% | 15 | 15 | $196.95 |
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 officialOLSON, SAMUEL (OWNER/DENTIST)