Dental
Pediatric Dental Specialists of Western Co
Pediatric Dental Specialists of Western Co was paid $642K by Medicaid between Jan 2021 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF WESTERN CO
FRUITA, CO 81521
FRUITA, CO 81521
33aNPI1851993612assigned 11/16/2020
33bProvider typePediatric Dentist
28Total paid$642K
24GClaims22,480
24DCodes billed16
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#50 of 177
Median peer was paid$122K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2021 | 4,225 | $124K | |
| 2022 | 6,763 | $172K | |
| 2023 | 6,450 | $165K | |
| 2024incomplete | 5,042 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 4,955 | 4,950 | $186K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 5,349 | 5,342 | $137K |
| D1206 | Topical application of fluoride varnish | 19% | 5,639 | 5,631 | $122K |
| D1110 | Prophylaxis - adult | 6.9% | 849 | 848 | $44K |
| D0272 | Bitewings - two radiographic images | 5.5% | 1,648 | 1,645 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 997 | 995 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 753 | 741 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 1,631 | 1,625 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 117 | 68 | $15K |
| D0330 | Panoramic radiographic image | 1.3% | 159 | 159 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 64 | 36 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 40 | 17 | $5K |
4 more codes
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 officialCOX, KARI (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Specialists of Montrose, PLLC | Montrose, CO | $1.26M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.