Dental
Sundance Dental Care of Bloomfield, LLC.
Sundance Dental Care of Bloomfield, LLC. was paid $556K by Medicaid between Jan 2018 and Apr 2021, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoSUNDANCE DENTAL CARE OF BLOOMFIELD, LLC.
BLOOMFIELD, NM 87413
BLOOMFIELD, NM 87413
33aNPI1023344181assigned 10/26/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$556K
24GClaims18,163
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#44 of 202
Median peer was paid$44K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 6,269 | $189K | |
| 2019 | 7,289 | $236K | |
| 2020 | 4,234 | $124K | |
| 2021 | 371 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 954 | 555 | $68K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 1,672 | 1,626 | $55K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.9% | 661 | 181 | $55K |
| D0274 | Bitewings - four radiographic images | 9.8% | 1,939 | 1,900 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 1,826 | 1,785 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 2,413 | 2,361 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 763 | 377 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 2,150 | 2,060 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 1,076 | 1,062 | $22K |
| D9243 | 3.6% | 357 | 91 | $20K | |
| D0330 | Panoramic radiographic image | 3.4% | 416 | 403 | $19K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 605 | 558 | $16K |
11 more codes
| D1110 | Prophylaxis - adult | 2.9% | 387 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 1,675 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 247 | $13K |
| D1351 | Sealant - per tooth | 2.2% | 540 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 189 | $12K |
| D4346 | 1.4% | 67 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 49 | $4K |
| D4341 | <1% | 26 | $3K | |
| D9239 | <1% | 57 | $3K | |
| D9610 | <1% | 82 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $217.17 |
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 officialTORNOW, MICHAEL (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cloud 9 Sleep Center | Farmington, NM | $790K |
| Pony Express Dental LLC | Eagle Mountain, UT | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.