Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Peppermint Dental-San Mateo PLLC

Peppermint Dental-San Mateo PLLC was paid $392K by Medicaid between Jan 2018 and Sep 2019, across 21 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 15% of everything it billed.

33Billing provider infoPEPPERMINT DENTAL-SAN MATEO PLLC
ALBUQUERQUE, NM 87108
33aNPI1073827093assigned 08/02/2010
33bProvider typeDentist
28Total paid$392K
24GClaims12,340
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers

Next to other Dentist providers in New Mexico

Rank by total paid#44 of 179
Median peer was paid$47K
This provider vs. median8.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20187,583$245K
20194,757$147K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 15% 1,712 1,706 $59K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 702 395 $51K
D1120 Dental cleaning, childProphylaxis - child 11% 1,357 1,348 $41K
D0274 Bitewings - four radiographic images 10.0% 1,345 1,336 $39K
D2391 Resin-based composite - one surface, posterior, primary or permanent 9.3% 668 355 $37K
D1208 Topical application of fluoride, excluding varnish 8.9% 1,970 1,959 $35K
D1110 Prophylaxis - adult 5.5% 474 471 $21K
D7140 Extraction, erupted tooth or exposed root 3.8% 224 110 $15K
D0330 Panoramic radiographic image 3.7% 323 320 $14K
D0220 Intraoral - periapical first radiographic image 3.2% 1,144 1,123 $13K
D0140 Limited oral evaluation - problem focused 3.2% 441 433 $13K
D0210 Intraoral - complete series of radiographic images 3.1% 289 279 $12K
9 more codes
D0120 Dental checkup, returning patient 3.0% 551 $12K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.0% 68 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.7% 83 $7K
D0230 Intraoral - periapical each additional radiographic image 1.6% 671 $6K
D4346 <1% 30 $4K
D0272 Bitewings - two radiographic images <1% 133 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 75 $2K
D1351 Sealant - per tooth <1% 54 $1K
D0270 <1% 26 $246.35

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 officialPU, MARY (CFO)
Same official

Other billing entities under PU, MARY

Full network →
ProviderLocationPaid
Red Rock Dental-FarmingtonIrving, TX$3.59M
Sage DentalBaytown, TX$2.35M
Peppermint Dental-Montgomery LLCAlbuquerque, NM$2.14M
Sage Dental-Deer Park PLLCLa Porte, TX$1.87M
Vinh Ngo Dentistry PLLCVictoria, TX$1.65M
Element Dental-Bryan PLLCBryan, TX$1.57M
Fusion DentalIrving, TX$1.49M
Element Dental-Conroe PLLCIrving, TX$1.49M
Gulfside Dental Port Arthur PLLCPort Arthur, TX$1.39M
Peppermint Dental-Rio Bravo LLCAlbuquerque, NM$1.29M
Fresh Dental-ShreveportIrving, TX$1.27M
Fresh Dental-Bossier CityIrving, TX$1.21M
Peppermint Dental-Sherman PLLCSherman, TX$1.17M
Element Dental PLLCLufkin, TX$1.06M
Rio Dental and Orthodontics LLCRio Rancho, NM$1.00M
Element Dental-Humble PLLCHumble, TX$942K
Gulfside DentalBeaumont, TX$939K
Legend Dental-GeorgetownGeorgetown, TX$919K
Bliss Dental PLLCOdessa, TX$827K
Bliss Dental Lubbock PLLCLubbock, TX$826K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.