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    OpenPayerNPI Medicare & MedicaidHero Dental Of Longmont PC
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    Hero Dental Of Longmont PC — Billing Profile & Reimbursement Data

    NPI 1205131430 · Longmont, CO · General Practice Dentistry

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    Hero Dental Of Longmont PC is a general practice dentistry provider located in Longmont, Colorado. This profile covers 0 Medicare and 38 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHero Dental Of Longmont PC
    Address1739 N Main St
    CityLongmont
    StateCO
    ZIP80501
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 19, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth22,180$50$1M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients53,200$20$1M
    D2150Amalgam - two surfaces, primary or permanent8,900$110$1M
    D0120Periodic oral evaluation - established patient40,440$20$970.4K
    D8080N/A370$2,450$903.3K
    D1120Prophylaxis–child26,420$30$898.3K
    D1351Sealant - per tooth20,170$40$706.1K
    D8660N/A4,950$140$693.4K
    D2930N/A5,200$130$650.4K
    D0350N/A13,150$40$499.7K

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8080N/A42060$2,230$467.8K
    D7240N/A3380430$270$348.6K
    D2150Amalgam - two surfaces, primary or permanent960280$110$314.9K
    D2930N/A18160550$130$233K
    D2140Amalgam - one surface, primary or permanent740670$90$228K
    D2392Post 2 surface resin‑based composite354690290$130$148K
    D8660N/A10150290$140$143.6K
    D2160Amalgam - three surfaces, primary or permanent630280$140$101.6K
    D9248N/A122070$140$95.3K
    D8670N/A12110220$130$93.3K

    Showing 1–10 of 38

    Nearby Providers

    Other providers in the same ZIP code as Hero Dental Of Longmont PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sample SupportsCOCommunity/Behavioral Health Agency$0$105.8M
    Salud Family HealthCOFederally Qualified Health Center (FQHC)$0$25.7M
    Carmel Community Living CorporationCODevelopmentally Disabled Services Day Training Agency$0$21.2M
    Elevated Supports, LLCCORespite Care$0$14.6M
    Hopelight Medical ClinicCOHealth Service Clinic/Center$0$12.3M
    Hero Vision Of Longmont, LLCCOOptometrist$0$11.9M
    Senior Housing Options, Inc.COAssisted Living Facility$0$5.7M
    Vcphcs X, LLCCOSubstance Use Disorder Rehabilitation Clinic/Center$156.9K$5.3M
    Longmont United HospitalCOGeneral Acute Care Hospital$0$5.2M
    Community Advantage, Inc.CODevelopmentally Disabled Services Day Training Agency$0$3.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Colorado Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Hero Dental Of Longmont PC — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado