Dental
Pueblo Dental Center of Pueblo
Pueblo Dental Center of Pueblo was paid $820K by Medicaid between Jan 2018 and Oct 2023, across 18 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 38% of everything it billed.
33Billing provider infoPUEBLO DENTAL CENTER OF PUEBLO
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1699100982assigned 09/05/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$820K
24GClaims14,937
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#98 of 521
Median peer was paid$53K
This provider vs. median16×
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 | 3,130 | $179K | |
| 2019 | 3,314 | $221K | |
| 2020 | 2,348 | $119K | |
| 2021 | 2,225 | $118K | |
| 2022 | 2,464 | $114K | |
| 2023 | 1,456 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 38% | 3,599 | 757 | $315K |
| D5110 | 10.0% | 105 | 105 | $82K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.5% | 1,831 | 1,828 | $70K |
| D1110 | Prophylaxis - adult | 8.1% | 1,605 | 1,600 | $66K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 303 | 197 | $41K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 1,145 | 1,133 | $38K |
| D0330 | Panoramic radiographic image | 4.6% | 740 | 737 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 1,438 | 1,430 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 2,466 | 2,439 | $30K |
| D5120 | 3.4% | 36 | 36 | $28K | |
| D2740 | Crown - porcelain/ceramic | 2.7% | 52 | 37 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 173 | 108 | $18K |
6 more codes
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 officialCOMER, TINA (OFFICE MANAGER)
Parent organizationPRESTIGE DENTAL CENTERS LLC