Dental
Ideal Dental PLLC
Ideal Dental PLLC was paid $57K by Medicaid between Jan 2018 and Nov 2022, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoIDEAL DENTAL PLLC
DENVER, CO 80219
DENVER, CO 80219
33aNPI1821533183assigned 12/22/2016
33bProvider typeDentist
28Total paid$57K
24GClaims1,666
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#161 of 344
Median peer was paid$45K
This provider vs. median1.3×
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 | 201 | $8K | |
| 2019 | 88 | $3K | |
| 2020 | 462 | $14K | |
| 2021 | 509 | $17K | |
| 2022 | 406 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 341 | 335 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 352 | 342 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 474 | 460 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 44 | 24 | $6K |
| D0274 | Bitewings - four radiographic images | 8.3% | 163 | 162 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 5.2% | 42 | 41 | $3K |
| D4910 | 4.7% | 42 | 36 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 169 | 166 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | 12 | $459.34 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | 12 | $295.68 |
| D1206 | Topical application of fluoride varnish | <1% | 13 | 13 | $218.27 |
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 officialPEREZ, VICTOR (DDS)
| Provider | Location | Paid |
|---|---|---|
| Laboratorio Clinico Valenciano Del Este, INC. | Juncos, PR | $447K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.