Dental
Community Dental Services, INC.
Community Dental Services, INC. was paid $12K by Medicaid between Jan 2018 and Jun 2018, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.
33Billing provider infoCOMMUNITY DENTAL SERVICES, INC.
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
33aNPI1174632350assigned 08/30/2006
33bProvider typePublic Health Dentist
28Total paid$12K
24GClaims376
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2018
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 | 376 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 33% | 98 | 97 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 30% | 113 | 113 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 26% | 72 | 71 | $3K |
| D0140 | Limited oral evaluation - problem focused | 5.9% | 28 | 26 | $700.11 |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 37 | 36 | $377.22 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 28 | 12 | $256.15 |
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 officialVARGAS, DAVID (EXECUTIVE DIRECTOR)