Dental
SJT Pediatric Dentistry LLC
SJT Pediatric Dentistry LLC was paid $1.41M by Medicaid between Oct 2018 and Oct 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoSJT PEDIATRIC DENTISTRY LLC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1154804755assigned 09/10/2018
33bProvider typePediatric Dentist
28Total paid$1.41M
24GClaims47,370
24DCodes billed22
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#12 of 44
Median peer was paid$240K
This provider vs. median5.8×
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 GONZALES, EBONIE controls 15+ related entities in our dataset. Read more
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 | 498 | $20K | |
| 2019 | 9,187 | $293K | |
| 2020 | 8,749 | $251K | |
| 2021 | 8,907 | $266K | |
| 2022 | 12,908 | $409K | |
| 2023 | 6,887 | $161K | |
| 2024incomplete | 234 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 2,794 | 748 | $303K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 7,535 | 7,444 | $231K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.8% | 4,001 | 3,960 | $137K |
| D1208 | Topical application of fluoride, excluding varnish | 9.3% | 7,424 | 7,334 | $131K |
| D0272 | Bitewings - two radiographic images | 6.7% | 4,798 | 4,711 | $95K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.3% | 1,220 | 366 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 3,413 | 3,376 | $75K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 5,290 | 5,182 | $58K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 1,573 | 1,524 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 4,999 | 4,783 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 1,452 | 1,408 | $38K |
| D9420 | 2.1% | 446 | 429 | $30K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 493 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 375 | $26K |
| D2934 | 1.8% | 225 | $25K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 389 | $24K |
| D1351 | Sealant - per tooth | 1.0% | 618 | $15K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 177 | $10K |
| D9248 | <1% | 39 | $933.23 | |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $356.67 |
| D0240 | <1% | 17 | $316.25 | |
| D1999 | 0% | 80 | $0.00 |
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 officialGONZALES, EBONIE (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tasker Hatch Rowan LLC | Albuquerque, NM | $25.09M |
| Tasker Hatch Rowan LLC | Las Cruces, NM | $14.13M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $9.83M |
| Tasker Hatch Rowan LLC | Los Lunas, NM | $8.60M |
| Tasker Hatch Rowan LLC | Gallup, NM | $7.91M |
| Families First Pediatrics | Kaysville, UT | $7.73M |
| Tasker Hatch Rowan LLC | Deming, NM | $5.96M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $4.80M |
| Tasker, Hatch, Rowan, LLC | Albuquerque, NM | $4.47M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $4.34M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $2.40M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $1.48M |
| Families First Pediatric Dentistry | Riverton, UT | $205K |
| Highbury Dental Management, LLC | Gilbert, AZ | $144K |
| Tasker Hatch Rowan LLC | Las Cruces, NM | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.