Dental
PDR Greeley PLLC
PDR Greeley PLLC was paid $1.47M by Medicaid between Feb 2019 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPDR GREELEY PLLC
GREELEY, CO 80634
GREELEY, CO 80634
33aNPI1992261820assigned 02/15/2019
33bProvider typePediatric Dentist
28Total paid$1.47M
24GClaims40,350
24DCodes billed19
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#26 of 177
Median peer was paid$122K
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 | |
|---|---|---|---|
| 2019 | 993 | $24K | |
| 2020 | 2,802 | $74K | |
| 2021 | 5,936 | $203K | |
| 2022 | 7,952 | $257K | |
| 2023 | 10,624 | $374K | |
| 2024incomplete | 12,043 | $539K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 6,150 | 6,141 | $242K |
| D1206 | Topical application of fluoride varnish | 13% | 8,637 | 8,601 | $193K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 7,082 | 7,072 | $185K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,339 | 782 | $175K |
| D1351 | Sealant - per tooth | 7.1% | 2,707 | 878 | $104K |
| D1110 | Prophylaxis - adult | 6.4% | 1,756 | 1,753 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 1,947 | 1,945 | $84K |
| D7140 | Extraction, erupted tooth or exposed root | 5.2% | 734 | 493 | $76K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 564 | 422 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 1,785 | 1,698 | $57K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 702 | 701 | $56K |
| D0272 | Bitewings - two radiographic images | 3.6% | 2,439 | 2,435 | $53K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 2,289 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 1,196 | $24K |
| D0274 | Bitewings - four radiographic images | 1.1% | 508 | $16K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 413 | $15K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 55 | $7K |
| D2991 | <1% | 33 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 14 | $766.60 |
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 officialVAN TASSELL, KEITH (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry of the Rockies PLLC | Fort Collins, CO | $2.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.