My Local Colorado Dental Practice, LLC
My Local Colorado Dental Practice, LLC was paid $58K by Medicaid between Dec 2019 and Jun 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
BOULDER, CO 80302
Next to other General Practice Dentistry providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 15 | $331.50 | |
| 2020 | 616 | $17K | |
| 2021 | 895 | $28K | |
| 2022 | 474 | $12K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 621 | 619 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 586 | 582 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 38 | 26 | $5K |
| D0274 | Bitewings - four radiographic images | 8.0% | 156 | 156 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 355 | 353 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 176 | 176 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 44 | 44 | $2K |
| D0330 | Panoramic radiographic image | 1.0% | 12 | 12 | $603.24 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $393.72 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Basecamp Recovery LLC | Columbus, OH | $14.19M |
| Cairn Recovery Resources LLC | Zanesville, OH | $4.65M |
| Transitioning Home INC | Denver, CO | $1.64M |
| Colorado Dental Specialist Practice, LLC | Colorado Springs, CO | $1.39M |
| Basecamp Recovery LLC | Columbus, OH | $766K |
| Transitioning Home INC | Denver, CO | $350K |
| My Local Colorado Dental Practice, LLC | Pueblo, CO | $173K |
| Winona Counseling Clinic, INC. | Winona, MN | $133K |
| Marshalltown Family Dentistry | Marshalltown, IA | $123K |
| My Local Colorado Dental Practice, LLC | Lafayette, CO | $81K |
| Colorado Dental Specialist Practice, LLC | Colorado Springs, CO | $65K |
| Colorado Dental Specialist Practice, LLC | Colorado Springs, CO | $60K |
| Michelle C. Johnson L.C.S.W. | Wilmington, DE | $22K |
| Charles City County Board of Supervisors | Charles City, VA | $12K |
| My Local Colorado Dental Practice, LLC | Colorado Springs, CO | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.