Roxanne Siegrist DDS LLC

Roxanne Siegrist DDS LLC was paid $4K by Medicaid between Jan 2018 and Jul 2020, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoROXANNE SIEGRIST DDS LLC
CRESTED BUTTE, CO 81224

33aNPI1740694504assigned 06/19/2014

33bProvider typeDentist

28Total paid$4K

24GClaims111

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#272 of 344

Median peer was paid$45K

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
2018	12	$357.12
2019	40	$1K
2020	59	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	40	39	$2K
D1120	Dental cleaning, childProphylaxis - child	29%	32	32	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	39	39	$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 officialSIEGRIST, ROXANNE (DENTIST)