South Powers Dental Prof LLC

South Powers Dental Prof LLC was paid $18.08M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoSOUTH POWERS DENTAL PROF LLC
COLORADO SPRINGS, CO 80915

33aNPI1891022505assigned 11/17/2009

33bProvider typeDentist

28Total paid$18.08M

24GClaims223,625

24DCodes billed41

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#2 of 344

Median peer was paid$45K

This provider vs. median400×

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	27,512	$1.98M
2019	30,161	$2.24M
2020	26,567	$1.94M
2021	33,132	$2.40M
2022	36,775	$2.55M
2023	35,037	$2.62M
2024incomplete	34,441	$4.34M

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	17%	22,367	11,793	$3.01M
D2740	Crown - porcelain/ceramic	16%	5,011	3,414	$2.88M
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	13%	14,861	9,392	$2.41M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	7.1%	8,236	4,875	$1.29M
D7140	Extraction, erupted tooth or exposed root	3.8%	7,170	2,950	$695K
D2394		3.7%	3,465	2,732	$667K
D2930	Prefabricated stainless steel crown - primary tooth	3.5%	4,873	1,706	$629K
D1110	Prophylaxis - adult	3.2%	12,483	12,301	$571K
D0210	Intraoral - complete series of radiographic images	3.2%	9,461	9,115	$571K
D2950		3.0%	4,234	2,926	$549K
D0150	Comprehensive oral evaluation - new or established patient	2.9%	12,926	12,731	$519K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.4%	18,417	18,139	$439K

29 more codes

D0140	Limited oral evaluation - problem focused	2.3%	12,016	$420K
D1120	Dental cleaning, child	1.6%	8,470	$294K
D0274	Bitewings - four radiographic images	1.6%	9,814	$290K
D0220	Intraoral - periapical first radiographic image	1.5%	22,017	$273K
D2332		1.4%	1,665	$248K
D4342		1.3%	2,546	$237K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	2,059	$216K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	1.2%	256	$214K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	1.1%	2,355	$204K
D1351	Sealant - per tooth	1.1%	5,385	$199K
D0230	Intraoral - periapical each additional radiographic image	1.0%	6,444	$186K
D2335		<1%	917	$161K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	4,574	$144K
D1206	Topical application of fluoride varnish	<1%	6,982	$135K
D0240		<1%	3,448	$102K
D3120		<1%	2,675	$100K
D0460		<1%	3,521	$93K
D3320		<1%	129	$91K
D4341		<1%	294	$68K
D0330	Panoramic radiographic image	<1%	1,105	$58K
D0272	Bitewings - two radiographic images	<1%	1,927	$40K
D9420		<1%	172	$20K
D0145	Oral evaluation for a patient under three years of age	<1%	599	$19K
D2331		<1%	130	$15K
D1510		<1%	70	$10K
D1354		<1%	145	$8K
D0270		<1%	353	$5K
D3910		<1%	28	$3K
D1208	Topical application of fluoride, excluding varnish	<1%	25	$276.25

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 officialCOOK, BEVERLY (MANAGER)