Dental
Palmer Park Dentistry, LLC
Palmer Park Dentistry, LLC was paid $2.79M by Medicaid between Jan 2018 and Oct 2023, across 32 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoPALMER PARK DENTISTRY, LLC
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
33aNPI1689061079assigned 04/23/2015
33bProvider typeDentist
28Total paid$2.79M
24GClaims43,980
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#28 of 344
Median peer was paid$45K
This provider vs. median62×
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 | 7,169 | $469K | |
| 2019 | 6,555 | $416K | |
| 2020 | 4,898 | $283K | |
| 2021 | 7,409 | $466K | |
| 2022 | 11,129 | $718K | |
| 2023 | 6,820 | $435K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 3,392 | 2,078 | $457K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 4,567 | 1,036 | $432K |
| D2740 | Crown - porcelain/ceramic | 10% | 638 | 509 | $289K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 2,110 | 1,355 | $221K |
| D1110 | Prophylaxis - adult | 7.5% | 4,988 | 4,924 | $209K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 4,643 | 4,575 | $180K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.4% | 917 | 600 | $150K |
| D0330 | Panoramic radiographic image | 4.2% | 2,336 | 2,296 | $118K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 3,333 | 3,248 | $112K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 1,548 | 1,518 | $106K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 4,304 | 4,257 | $99K |
| D0274 | Bitewings - four radiographic images | 3.5% | 3,294 | 3,257 | $97K |
20 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 378 | $56K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 4,372 | $54K |
| D4342 | 1.3% | 379 | $35K | |
| D2950 | <1% | 213 | $27K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 62 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 937 | $21K |
| D5110 | <1% | 25 | $20K | |
| D2332 | <1% | 82 | $12K | |
| D4910 | <1% | 178 | $12K | |
| D5120 | <1% | 13 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 604 | $10K |
| D2331 | <1% | 58 | $7K | |
| D2750 | <1% | 16 | $7K | |
| D0270 | <1% | 342 | $4K | |
| D2394 | <1% | 21 | $4K | |
| D4346 | <1% | 80 | $4K | |
| D2335 | <1% | 17 | $3K | |
| D1120 | Dental cleaning, child | <1% | 91 | $3K |
| D2330 | <1% | 14 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 28 | $571.76 |
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 officialROGERS, STERLING (OWNER)