My Local Colorado Dental Practice, LLC
My Local Colorado Dental Practice, LLC was paid $173K by Medicaid between Aug 2020 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
PUEBLO, CO 81008
Next to other General Practice Dentistry providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 106 | $3K | |
| 2021 | 519 | $15K | |
| 2022 | 826 | $27K | |
| 2023 | 1,282 | $37K | |
| 2024incomplete | 1,591 | $90K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 1,332 | 1,314 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,117 | 1,096 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 506 | 502 | $22K |
| D2740 | Crown - porcelain/ceramic | 12% | 31 | 27 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 127 | 123 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 785 | 767 | $10K |
| D0274 | Bitewings - four radiographic images | 2.3% | 136 | 134 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 24 | 16 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 65 | 64 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 201 | 199 | $3K |
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.
Who's on the registration
| 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 |
| Colorado Dental Specialist Practice, LLC | Colorado Springs, CO | $1.39M |
| Basecamp Recovery LLC | Columbus, OH | $766K |
| Transitioning Home INC | Denver, CO | $350K |
| 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.