Clinic
Experience Dental Hygiene Practice 1 LLC
Experience Dental Hygiene Practice 1 LLC was paid $2K by Medicaid between Mar 2024 and May 2024, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoEXPERIENCE DENTAL HYGIENE PRACTICE 1 LLC
BOULDER, CO 80301
BOULDER, CO 80301
33aNPI1992484844assigned 07/17/2023
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims38
24DCodes billed1
24AFirst – last monthMar 2024 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#179 of 193
Median peer was paid$180K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 38 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 38 | 37 | $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 officialALTDORFER, JEREMY (CEO EXTRORDINAIRE)
| Provider | Location | Paid |
|---|---|---|
| Experience Dental 2 PLLC | Thornton, CO | $403K |
| Experience Dental PLLC | Boulder, CO | $263K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.