PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC
NPI: 1154624401
· LAS CRUCES, NM 88011
· Dentist
$2.85M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,459 |
$1.40M |
| 2019 |
12,414 |
$898K |
| 2020 |
1,893 |
$146K |
| 2021 |
4,228 |
$319K |
| 2024 |
983 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
13,353 |
1,921 |
$1.58M |
| D3220 |
|
6,567 |
1,734 |
$527K |
| D9420 |
|
2,224 |
2,202 |
$163K |
| D7140 |
|
2,364 |
684 |
$158K |
| D2335 |
|
550 |
212 |
$70K |
| D2330 |
|
977 |
328 |
$68K |
| D2391 |
|
1,149 |
319 |
$63K |
| D2934 |
|
395 |
130 |
$54K |
| D0272 |
|
2,145 |
2,138 |
$43K |
| D0150 |
|
819 |
817 |
$28K |
| D0220 |
|
2,137 |
2,129 |
$24K |
| D0120 |
|
1,019 |
1,016 |
$23K |
| D0230 |
|
2,146 |
2,127 |
$19K |
| D1120 |
|
1,004 |
998 |
$17K |
| D1208 |
|
942 |
937 |
$9K |
| D1510 |
|
19 |
13 |
$2K |
| D1351 |
|
73 |
28 |
$2K |
| D1206 |
|
94 |
93 |
$2K |