Dental
Sundance Dental Care of Rio Rancho, LLC
Sundance Dental Care of Rio Rancho, LLC was paid $971K by Medicaid between Jan 2018 and Apr 2022, across 22 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 14% of everything it billed.
33Billing provider infoSUNDANCE DENTAL CARE OF RIO RANCHO, LLC
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1164725503assigned 12/07/2010
33bProvider typeDentist
28Total paid$971K
24GClaims31,275
24DCodes billed22
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#27 of 179
Median peer was paid$47K
This provider vs. median21×
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 | 8,411 | $280K | |
| 2019 | 7,514 | $246K | |
| 2020 | 4,821 | $143K | |
| 2021 | 8,231 | $238K | |
| 2022 | 2,298 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 14% | 4,908 | 4,892 | $140K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 3,722 | 3,697 | $115K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,417 | 734 | $101K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 2,972 | 2,954 | $101K |
| D1208 | Topical application of fluoride, excluding varnish | 9.7% | 5,274 | 5,239 | $94K |
| D1110 | Prophylaxis - adult | 9.6% | 2,184 | 2,173 | $93K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 3,079 | 3,067 | $66K |
| D9243 | 4.6% | 791 | 218 | $45K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 823 | 453 | $44K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.0% | 353 | 112 | $38K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 1,303 | 1,277 | $36K |
| D0330 | Panoramic radiographic image | 3.1% | 915 | 914 | $30K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 2,469 | $27K |
| D4346 | <1% | 80 | $9K | |
| D9239 | <1% | 166 | $9K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 43 | $7K |
| D9610 | <1% | 213 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 444 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 25 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 37 | $1K |
| D9110 | <1% | 17 | $897.96 | |
| D0272 | Bitewings - two radiographic images | <1% | 40 | $822.39 |
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 officialBROWN, MICHELLE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Friends & Family Adult Day Services, INC. | Windsor Mill, MD | $4.50M |
| Michelle D. Brown DDS, & Michael B. Moore DDS, INC. | Oceana, WV | $2.42M |
| Providential Bba Operating LP | Bountiful, UT | $1.73M |
| State of Mississippi- University of Mississippi Medical Center | Jackson, MS | $203.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.