Dental
Pediatric Dental Specialist of New Mexico LLC
Pediatric Dental Specialist of New Mexico LLC was paid $2.85M by Medicaid between Jan 2018 and Aug 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 55% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1154624401assigned 12/08/2010
33bProvider typeDentist
28Total paid$2.85M
24GClaims37,977
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#11 of 179
Median peer was paid$47K
This provider vs. median61×
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 | 18,459 | $1.40M | |
| 2019 | 12,414 | $898K | |
| 2020 | 1,893 | $146K | |
| 2021 | 4,228 | $319K | |
| 2024incomplete | 983 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 55% | 13,353 | 1,921 | $1.58M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 18% | 6,567 | 1,734 | $527K |
| D9420 | 5.7% | 2,224 | 2,202 | $163K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 2,364 | 684 | $158K |
| D2335 | 2.5% | 550 | 212 | $70K | |
| D2330 | 2.4% | 977 | 328 | $68K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,149 | 319 | $63K |
| D2934 | 1.9% | 395 | 130 | $54K | |
| D0272 | Bitewings - two radiographic images | 1.5% | 2,145 | 2,138 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 819 | 817 | $28K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,137 | 2,129 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,019 | 1,016 | $23K |
6 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,146 | $19K |
| D1120 | Dental cleaning, child | <1% | 1,004 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 942 | $9K |
| D1510 | <1% | 19 | $2K | |
| D1351 | Sealant - per tooth | <1% | 73 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 94 | $2K |
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 officialHAYES, PETER (PEDIATRIC DENTAL SPECIALIST)