Clinic
Aj Canon Dental
Aj Canon Dental was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoAJ CANON DENTAL
CANON CITY, CO 81212
CANON CITY, CO 81212
33aNPI1639561467assigned 03/03/2015
33bProvider typeDental Clinic/Center
28Total paid$1.10M
24GClaims45,454
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#43 of 193
Median peer was paid$180K
This provider vs. median6.1×
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 | 9,008 | $197K | |
| 2019 | 7,643 | $165K | |
| 2020 | 5,273 | $120K | |
| 2021 | 5,631 | $133K | |
| 2022 | 6,474 | $157K | |
| 2023 | 6,259 | $157K | |
| 2024incomplete | 5,166 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 8,422 | 8,403 | $200K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 5,309 | 5,306 | $176K |
| D1206 | Topical application of fluoride varnish | 15% | 8,935 | 8,921 | $169K |
| D1110 | Prophylaxis - adult | 15% | 3,427 | 3,420 | $160K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 6,681 | 6,652 | $83K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 5,860 | 5,843 | $73K |
| D0272 | Bitewings - two radiographic images | 4.1% | 2,177 | 2,171 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 1,403 | 1,348 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 296 | 211 | $39K |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,204 | 1,200 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 399 | 397 | $17K |
| D1351 | Sealant - per tooth | 1.4% | 454 | 130 | $15K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 373 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 85 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 162 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 58 | $6K |
| D0330 | Panoramic radiographic image | <1% | 103 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 69 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $2K |
| D1353 | <1% | 21 | $744.30 |
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 officialLEE, ALLEN (OWNER)