PARTICIPA, INC. DENTAL SERVICES
NPI: 1134289838
· ALBUQUERQUE, NM 87110
· Public Health Dentist
· NPI assigned 12/11/2006
$479K
Total Medicaid Paid
Provider Details
| Authorized Official | BRYANT, JANET (PRESIDENT) |
| NPI Enumeration Date | 12/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,734 |
$88K |
| 2019 |
4,703 |
$111K |
| 2020 |
363 |
$8K |
| 2021 |
669 |
$17K |
| 2022 |
4,513 |
$115K |
| 2023 |
3,241 |
$61K |
| 2024 |
3,135 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,207 |
4,997 |
$163K |
| D1120 |
Prophylaxis - child |
4,712 |
4,504 |
$121K |
| D1351 |
Sealant - per tooth |
5,138 |
1,609 |
$107K |
| D1206 |
Topical application of fluoride varnish |
2,780 |
2,585 |
$45K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,117 |
2,085 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
277 |
248 |
$5K |
| D1354 |
|
76 |
23 |
$2K |
| D1110 |
Prophylaxis - adult |
20 |
20 |
$958.20 |
| D1203 |
|
31 |
30 |
$0.00 |