Dental
Poor, Lilly
Poor, Lilly was paid $4K by Medicaid between Sep 2021 and Dec 2023, across 12 billing codes. Its largest line is D0330, Panoramic radiographic image — 19% of everything it billed.
33Billing provider infoPOOR, LILLY
NORTHGLENN, CO 80234
NORTHGLENN, CO 80234
33aNPI1720751282assigned 07/29/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims8,032
24DCodes billed12
24AFirst – last monthSep 2021 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#444 of 521
Median peer was paid$53K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 667 | $412.63 | |
| 2022 | 4,056 | $2K | |
| 2023 | 3,309 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 19% | 457 | 449 | $783.61 |
| D0140 | Limited oral evaluation - problem focused | 15% | 602 | 585 | $630.48 |
| D0274 | Bitewings - four radiographic images | 15% | 1,118 | 1,091 | $606.25 |
| D0220 | Intraoral - periapical first radiographic image | 13% | 1,712 | 1,551 | $549.66 |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 1,832 | 1,325 | $507.42 |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 345 | 342 | $274.32 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 695 | 690 | $238.92 |
| D1110 | Prophylaxis - adult | 5.7% | 404 | 402 | $234.33 |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 703 | 696 | $163.91 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 111 | 110 | $89.16 |
| D0272 | Bitewings - two radiographic images | 1.2% | 27 | 25 | $51.45 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 26 | 12 | $0.00 |
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.