Supplier
Main Street Dental LLC
Main Street Dental LLC was paid $4.99M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D2752, — 20% of everything it billed.
33Billing provider infoMAIN STREET DENTAL LLC
CANON CITY, CO 81212
CANON CITY, CO 81212
33aNPI1669846838assigned 11/25/2015
33bProvider typeCustomized Equipment (DME)
28Total paid$4.99M
24GClaims44,029
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Colorado
Rank by total paid#10 of 34
Median peer was paid$1.08M
This provider vs. median4.6×
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 | 9,031 | $890K | |
| 2019 | 4,393 | $391K | |
| 2020 | 2,928 | $235K | |
| 2021 | 6,820 | $674K | |
| 2022 | 6,735 | $605K | |
| 2023 | 9,024 | $935K | |
| 2024incomplete | 5,098 | $1.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2752 | 20% | 2,149 | 1,059 | $995K | |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 7,844 | 1,749 | $760K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 4,777 | 1,881 | $637K |
| D2740 | Crown - porcelain/ceramic | 11% | 648 | 133 | $548K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 3,183 | 1,517 | $512K |
| D2950 | 6.4% | 2,504 | 1,050 | $320K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 2,319 | 1,071 | $242K |
| D0330 | Panoramic radiographic image | 3.5% | 3,494 | 3,491 | $177K |
| D2394 | 2.5% | 662 | 431 | $123K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 3,098 | 3,090 | $120K |
| D0274 | Bitewings - four radiographic images | 2.2% | 3,788 | 3,781 | $109K |
| D1110 | Prophylaxis - adult | 2.2% | 2,489 | 2,486 | $109K |
17 more codes
| D0140 | Limited oral evaluation - problem focused | 1.8% | 2,731 | $92K |
| D5110 | 1.0% | 64 | $50K | |
| D2335 | <1% | 182 | $31K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 190 | $30K |
| D2332 | <1% | 205 | $30K | |
| D0120 | Dental checkup, returning patient | <1% | 1,068 | $23K |
| D2330 | <1% | 193 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,116 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 673 | $11K |
| D1120 | Dental cleaning, child | <1% | 350 | $10K |
| D5120 | <1% | 12 | $9K | |
| D4342 | <1% | 99 | $9K | |
| D4910 | <1% | 36 | $3K | |
| D2331 | <1% | 23 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 76 | $2K |
| D9110 | <1% | 36 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | $246.90 |
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 officialBEUS, JACOB (OWNER)