Dental
Edward J. Bertagnolli, DDS, PC
Edward J. Bertagnolli, DDS, PC was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D9243, — 20% of everything it billed.
33Billing provider infoEDWARD J. BERTAGNOLLI, DDS, PC
WESTMINSTER, CO 80030
WESTMINSTER, CO 80030
33aNPI1952708877assigned 11/20/2014
33bProvider typeDentist
28Total paid$2.24M
24GClaims19,047
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#35 of 344
Median peer was paid$45K
This provider vs. median49×
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 | 730 | $37K | |
| 2019 | 1,621 | $158K | |
| 2020 | 2,011 | $148K | |
| 2021 | 2,958 | $256K | |
| 2022 | 3,157 | $290K | |
| 2023 | 3,785 | $504K | |
| 2024incomplete | 4,785 | $842K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9243 | 20% | 979 | 899 | $454K | |
| D4342 | 20% | 3,307 | 750 | $450K | |
| D2740 | Crown - porcelain/ceramic | 18% | 587 | 269 | $401K |
| D1110 | Prophylaxis - adult | 9.7% | 3,482 | 3,312 | $217K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 4,601 | 4,279 | $155K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 6.3% | 307 | 303 | $141K |
| D9239 | 5.3% | 921 | 893 | $118K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 931 | 195 | $89K |
| D9222 | 2.2% | 326 | 324 | $49K | |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 547 | 495 | $48K |
| D4910 | 1.7% | 401 | 334 | $38K | |
| D0274 | Bitewings - four radiographic images | 1.0% | 586 | 536 | $23K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,077 | $17K |
| D9219 | <1% | 256 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 263 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 295 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 102 | $4K |
| D2950 | <1% | 21 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 58 | $2K |
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 officialBERTAGNOLLI, JOHN (DENTIST)