Dental
Nickel Street Dental PC
Nickel Street Dental PC was paid $3K by Medicaid between Mar 2018 and Aug 2018, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 63% of everything it billed.
33Billing provider infoNICKEL STREET DENTAL PC
BROOMFIELD, CO 80020
BROOMFIELD, CO 80020
33aNPI1932559721assigned 06/13/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims69
24DCodes billed2
24AFirst – last monthMar 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#459 of 521
Median peer was paid$53K
This provider vs. median0.1×
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 | 69 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 63% | 44 | 43 | $2K |
| D1110 | Prophylaxis - adult | 37% | 25 | 25 | $1K |
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 officialCOOPER, TACI (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Horizon Dental PC | Salida, CO | $1.37M |
| Iconic Dental INC | Walsenburg, CO | $104K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.