Dental
Pueblo Dental Services LLC
Pueblo Dental Services LLC was paid $233K by Medicaid between May 2024 and Nov 2024, across 4 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 84% of everything it billed.
33Billing provider infoPUEBLO DENTAL SERVICES LLC
PUEBLO, CO 81008
PUEBLO, CO 81008
33aNPI1992577860assigned 10/24/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$233K
24GClaims558
24DCodes billed4
24AFirst – last monthMay 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#165 of 521
Median peer was paid$53K
This provider vs. median4.4×
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 | 558 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 84% | 234 | 52 | $195K |
| D2950 | 13% | 219 | 50 | $30K | |
| D4342 | 2.0% | 27 | 13 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 78 | 78 | $4K |
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 officialKAZEMI, MEHRON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kazemi Dental PLLC | Colorado Springs, CO | $904K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.