Dental
Colorado Dental Specialist Practice, LLC
Colorado Dental Specialist Practice, LLC was paid $1.39M by Medicaid between Jun 2021 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoCOLORADO DENTAL SPECIALIST PRACTICE, LLC
COLORADO SPRINGS, CO 80918
COLORADO SPRINGS, CO 80918
33aNPI1740834373assigned 07/31/2019
33bProvider typeEndodontist
28Total paid$1.39M
24GClaims36,373
24DCodes billed24
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Endodontist providers in Colorado
Rank by total paid#3 of 13
Median peer was paid$60K
This provider vs. median23×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, MICHELLE controls 15+ related entities in our dataset. Read more
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 | 5,755 | $195K | |
| 2022 | 10,355 | $368K | |
| 2023 | 10,752 | $400K | |
| 2024incomplete | 9,511 | $423K |
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 | 14% | 1,493 | 806 | $187K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,217 | 4,151 | $157K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,711 | 5,639 | $143K |
| D1206 | Topical application of fluoride varnish | 9.0% | 5,857 | 5,771 | $124K |
| D1351 | Sealant - per tooth | 7.2% | 2,628 | 730 | $100K |
| D1110 | Prophylaxis - adult | 6.3% | 1,745 | 1,730 | $88K |
| D3120 | 5.9% | 2,164 | 882 | $81K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 832 | 568 | $81K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 456 | 296 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 1,485 | 1,427 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 853 | 827 | $35K |
| D9110 | 2.5% | 627 | 606 | $34K |
12 more codes
| D0272 | Bitewings - two radiographic images | 2.4% | 1,588 | $34K |
| D0350 | 2.4% | 336 | $33K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.3% | 380 | $31K |
| D0240 | 2.0% | 711 | $27K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,104 | $27K |
| D0274 | Bitewings - four radiographic images | 1.8% | 841 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 233 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 1,434 | $21K |
| D0330 | Panoramic radiographic image | 1.5% | 379 | $21K |
| D1353 | <1% | 222 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 65 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $183.87 |
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 officialJOHNSON, MICHELLE (CREDENTIALING SPECIALIST)
Parent organizationCOLORADO DENTAL SPECIALIST PRACTICE, LLC
| Provider | Location | Paid |
|---|---|---|
| Basecamp Recovery LLC | Columbus, OH | $14.19M |
| Cairn Recovery Resources LLC | Zanesville, OH | $4.65M |
| Transitioning Home INC | Denver, CO | $1.64M |
| Basecamp Recovery LLC | Columbus, OH | $766K |
| Transitioning Home INC | Denver, CO | $350K |
| My Local Colorado Dental Practice, LLC | Pueblo, CO | $173K |
| Winona Counseling Clinic, INC. | Winona, MN | $133K |
| Marshalltown Family Dentistry | Marshalltown, IA | $123K |
| My Local Colorado Dental Practice, LLC | Lafayette, CO | $81K |
| Colorado Dental Specialist Practice, LLC | Colorado Springs, CO | $65K |
| Colorado Dental Specialist Practice, LLC | Colorado Springs, CO | $60K |
| My Local Colorado Dental Practice, LLC | Boulder, CO | $58K |
| Michelle C. Johnson L.C.S.W. | Wilmington, DE | $22K |
| Charles City County Board of Supervisors | Charles City, VA | $12K |
| My Local Colorado Dental Practice, LLC | Colorado Springs, CO | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.