Dental
Pueblo Dental & Braces
Pueblo Dental & Braces was paid $703K by Medicaid between Jan 2018 and Aug 2021, across 23 billing codes. Its largest line is D2750, — 29% of everything it billed.
33Billing provider infoPUEBLO DENTAL & BRACES
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1891222402assigned 05/12/2017
33bProvider typeDentist
28Total paid$703K
24GClaims9,835
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#67 of 344
Median peer was paid$45K
This provider vs. median16×
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 | 3,141 | $209K | |
| 2019 | 1,828 | $112K | |
| 2020 | 2,731 | $195K | |
| 2021 | 2,135 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2750 | 29% | 456 | 344 | $204K | |
| D4342 | 8.6% | 661 | 247 | $61K | |
| D1110 | Prophylaxis - adult | 7.8% | 1,275 | 1,261 | $55K |
| D0330 | Panoramic radiographic image | 5.8% | 811 | 810 | $41K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.7% | 284 | 151 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 1,052 | 1,047 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 249 | 153 | $34K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.6% | 201 | 133 | $32K |
| D0274 | Bitewings - four radiographic images | 4.4% | 1,059 | 1,052 | $31K |
| D2950 | 4.3% | 243 | 203 | $30K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 1,208 | 1,192 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 304 | 92 | $27K |
11 more codes
| D4910 | 3.2% | 298 | $23K | |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 619 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 219 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 714 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 50 | $5K |
| D2394 | <1% | 14 | $3K | |
| D2332 | <1% | 16 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 62 | $872.71 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $360.24 |
| D1120 | Dental cleaning, child | <1% | 12 | $358.59 |
| D1206 | Topical application of fluoride varnish | <1% | 14 | $228.32 |
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 officialHALL, MICHAEL (DENTIST/ OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cape Cod Emergency Associates LLP | Hyannis, MA | $3.38M |
| Community Pathology Laboratory LLC | Cookeville, TN | $1.12M |
| Pontchartrain Diagnostic Imaging LLC | Covington, LA | $486K |
| S TCG Benbrook Al, LLC | Benbrook, TX | $209K |
| Midwest Respiratory Care INC | Lincoln, NE | $129K |
| Community Hme LLC | Richland Center, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.