Dental
Pediatric Dental Group of Lakewood
Pediatric Dental Group of Lakewood was paid $3.05M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL GROUP OF LAKEWOOD
LAKEWOOD, CO 80227
LAKEWOOD, CO 80227
33aNPI1720214638assigned 06/05/2009
33bProvider typePediatric Dentist
28Total paid$3.05M
24GClaims83,801
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#11 of 177
Median peer was paid$122K
This provider vs. median25×
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 | 12,520 | $409K | |
| 2019 | 12,845 | $434K | |
| 2020 | 11,234 | $404K | |
| 2021 | 13,629 | $475K | |
| 2022 | 12,388 | $352K | |
| 2023 | 11,504 | $504K | |
| 2024incomplete | 9,681 | $468K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 13,224 | 13,086 | $451K |
| D1206 | Topical application of fluoride varnish | 13% | 20,953 | 20,742 | $405K |
| D7240 | Removal of impacted tooth - completely bony | 13% | 1,421 | 429 | $392K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 16,365 | 16,186 | $391K |
| D1110 | Prophylaxis - adult | 11% | 7,611 | 7,543 | $347K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 4,016 | 3,989 | $163K |
| D0330 | Panoramic radiographic image | 5.0% | 2,904 | 2,889 | $151K |
| D0272 | Bitewings - two radiographic images | 4.2% | 6,078 | 6,003 | $128K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 2,830 | 2,751 | $88K |
| D0274 | Bitewings - four radiographic images | 2.9% | 2,950 | 2,939 | $88K |
| D8660 | 1.9% | 422 | 416 | $57K | |
| D9243 | 1.8% | 270 | 268 | $54K |
16 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 339 | $46K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 424 | $42K |
| D8670 | Periodic orthodontic treatment visit | 1.2% | 298 | $37K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 917 | $31K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 295 | $30K |
| D9239 | <1% | 269 | $29K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 259 | $27K |
| D0340 | <1% | 417 | $24K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 172 | $21K |
| D0350 | <1% | 403 | $12K | |
| D2140 | <1% | 106 | $9K | |
| D1351 | Sealant - per tooth | <1% | 227 | $8K |
| D0240 | <1% | 176 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 380 | $5K |
| D9219 | <1% | 39 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 36 | $1K |
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 officialHARTSHORN, NICOLE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Group of Lafayette | Lafayette, CO | $344K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.