Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Colorado Dental Specialist Practice, LLC

Colorado Dental Specialist Practice, LLC was paid $65K by Medicaid between Feb 2019 and Jul 2019, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 32% of everything it billed.

33Billing provider infoCOLORADO DENTAL SPECIALIST PRACTICE, LLC
COLORADO SPRINGS, CO 80922
33aNPI1750727285assigned 05/10/2013
33bProvider typeEndodontist
28Total paid$65K
24GClaims1,914
24DCodes billed14
24AFirst – last monthFeb 2019 – Jul 2019
Compared with peers

Next to other Endodontist providers in Colorado

Rank by total paid#6 of 13
Median peer was paid$60K
This provider vs. median1.1×

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.

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20191,914$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 32% 148 72 $21K
D1120 Dental cleaning, childProphylaxis - child 12% 267 253 $8K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 341 323 $8K
D1206 Topical application of fluoride varnish 8.9% 352 337 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.4% 114 107 $3K
D1351 Sealant - per tooth 5.0% 97 31 $3K
D1110 Prophylaxis - adult 4.6% 73 73 $3K
D7140 Extraction, erupted tooth or exposed root 4.3% 26 14 $3K
D0220 Intraoral - periapical first radiographic image 3.3% 179 169 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.3% 20 14 $2K
D0272 Bitewings - two radiographic images 2.9% 93 93 $2K
D0230 Intraoral - periapical each additional radiographic image 2.5% 133 127 $2K
2 more codes
D0150 Comprehensive oral evaluation - new or established patient 2.2% 38 $1K
D3120 2.0% 33 $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 officialJOHNSON, MICHELLE (CREDENTIALING SPECIALIST)
Same official

Other billing entities under JOHNSON, MICHELLE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.