Dental
Colorado Dental Team Professional
Colorado Dental Team Professional was paid $39K by Medicaid between Aug 2022 and Apr 2023, across 7 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 64% of everything it billed.
33Billing provider infoCOLORADO DENTAL TEAM PROFESSIONAL
WESTMINSTER, CO 80021
WESTMINSTER, CO 80021
33aNPI1639847510assigned 09/03/2021
33bProvider typePediatric Dentist
28Total paid$39K
24GClaims578
24DCodes billed7
24AFirst – last monthAug 2022 – Apr 2023
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#125 of 177
Median peer was paid$122K
This provider vs. median0.3×
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 | 142 | $12K | |
| 2023 | 436 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 64% | 197 | 39 | $25K |
| D0350 | 14% | 102 | 30 | $6K | |
| D0140 | Limited oral evaluation - problem focused | 7.6% | 87 | 79 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 60 | 60 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 48 | 47 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 57 | 52 | $716.49 |
| D0272 | Bitewings - two radiographic images | 1.4% | 27 | 27 | $570.51 |
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 officialSUKKAWALA, KETAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| HCDC Professionals PLLC | Houston, TX | $28.22M |
| DFW Dental Team | Dallas, TX | $15.54M |
| Sacs Professionals | San Antonio, TX | $4.33M |
| Brazos Valley Smiles, PC | College Station, TX | $2.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.