Dental
Pedo Four, Prof. LLC
Pedo Four, Prof. LLC was paid $528K by Medicaid between May 2021 and Aug 2023, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoPEDO FOUR, PROF. LLC
AURORA, CO 80010
AURORA, CO 80010
33aNPI1912238270assigned 01/26/2010
33bProvider typeDentist
28Total paid$528K
24GClaims19,012
24DCodes billed23
24AFirst – last monthMay 2021 – Aug 2023
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#77 of 344
Median peer was paid$45K
This provider vs. median12×
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 | 5,721 | $169K | |
| 2022 | 9,108 | $259K | |
| 2023 | 4,183 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 3,139 | 3,118 | $99K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,846 | 2,845 | $66K |
| D1110 | Prophylaxis - adult | 6.3% | 772 | 771 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 246 | 117 | $32K |
| D1206 | Topical application of fluoride varnish | 5.9% | 1,800 | 1,767 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 231 | 89 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 2,351 | 2,347 | $29K |
| D0272 | Bitewings - two radiographic images | 5.1% | 1,282 | 1,282 | $27K |
| D1351 | Sealant - per tooth | 4.6% | 699 | 214 | $24K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 768 | 755 | $24K |
| D0350 | 3.8% | 581 | 426 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 1,547 | 1,541 | $19K |
11 more codes
| D0240 | 3.5% | 947 | $19K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 415 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 232 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 611 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 104 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 106 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 147 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 116 | $3K |
| D9219 | <1% | 42 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 17 | $893.35 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $426.53 |
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 officialFLAKE, COLTON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pedo Three, Prof. LLC | Centennial, CO | $5.86M |
| CDK Pedo Thornton, PLLC | Northglenn, CO | $1.17M |
| Pedo Two, Prof. LLC | Lakewood, CO | $679K |
| Aurora Pedo Dental, PLLC | Aurora, CO | $74K |
| Brighton Pedo Dental, PLLC | Brighton, CO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.