Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERO DENTAL OF SANTA FE PC

NPI: 1033407846 · SANTA FE, NM 87505 · General Practice Dentistry · NPI assigned 07/13/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$8.35M
Total Medicaid Paid
286,376
Total Claims
254,612
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialURBANOZO, SHAUN (CREDENTIALING MANAGER)
NPI Enumeration Date07/13/2011

Related Entities

Other providers sharing the same authorized official: URBANOZO, SHAUN

ProviderCityStateTotal Paid
MISNER DENTAL CORP HUNTINGTON PARK CA $21.95M
ACADEMY KIDS DENTAL CENTER PC COLORADO SPRINGS CO $20.71M
HERO DENTAL OF DENVER PC DENVER CO $20.64M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $19.23M
CAPTAIN SMILES OF GREELEY PC GREELEY CO $18.75M
TWIN LAKES DENTAL PA WICHITA KS $16.74M
MONTANO DDS DENTAL CENTER PC BALTIMORE MD $16.50M
HERO VISION OF GREELEY LLC GREELEY CO $15.43M
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS LANDOVER HILLS MD $14.45M
HERO DENTAL OF AURORA PC AURORA CO $13.98M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $13.58M
HERO DENTAL OF ALBUQUERQUE PC ALBUQUERQUE NM $13.55M
RONALD B MONTANO DDS PC BALTIMORE MD $12.21M
HERO VISION OF LONGMONT, LLC LONGMONT CO $11.88M
COUNTRY CLUB DENTAL PA TOPEKA KS $11.68M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $11.68M
R. MISNER DENTAL CORPORATION GLENDALE CA $10.86M
PARKLANE DENTAL PA WICHITA KS $10.35M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $9.33M
PEDIATRIC DENTAL GROUP II, LLC TULSA OK $8.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,139 $1.52M
2019 40,548 $1.17M
2020 31,877 $973K
2021 43,223 $1.16M
2022 45,090 $1.17M
2023 42,091 $1.13M
2024 37,408 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 32,041 31,848 $1.00M
D2930 Prefabricated stainless steel crown - primary tooth 7,058 3,552 $833K
D0120 Periodic oral evaluation - established patient 33,016 32,844 $741K
D1206 Topical application of fluoride varnish 33,348 33,185 $611K
D0274 Bitewings - four radiographic images 14,820 14,724 $405K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14,943 14,127 $401K
D1351 Sealant - per tooth 16,752 6,166 $390K
D2150 Silver amalgam - two surfaces, primary or permanent 5,233 3,298 $369K
D1110 Prophylaxis - adult 10,987 10,904 $365K
D0272 Bitewings - two radiographic images 18,567 18,421 $357K
D0150 Comprehensive oral evaluation - new or established patient 9,841 9,732 $334K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 90 90 $331K
D0230 Intraoral - periapical each additional radiographic image 22,447 15,556 $304K
D2140 5,556 3,659 $298K
D8660 2,729 2,664 $273K
D0220 Intraoral - periapical first radiographic image 21,677 21,410 $240K
D7140 Extraction, erupted tooth or exposed root 3,522 2,129 $232K
D0330 Panoramic radiographic image 4,013 3,967 $197K
D1208 Topical application of fluoride, excluding varnish 9,219 9,100 $158K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,978 1,261 $148K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,930 1,224 $109K
D7111 2,090 1,265 $99K
D2160 827 513 $68K
D0140 Limited oral evaluation - problem focused 1,605 1,580 $46K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 159 119 $15K
D0210 Intraoral - complete series of radiographic images 709 443 $12K
D0270 844 838 $8K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 20 16 $2K
D2330 16 12 $947.52
D9110 12 12 $645.48
D9995 12 12 $354.80
D0273 35 35 $276.00
D0350 1,109 1,050 $0.00
D1999 43 34 $0.00
D0603 4,526 4,370 $0.00
D1330 4,590 4,440 $0.00
D9920 12 12 $0.00