Call, Vaughn

Call, Vaughn was paid $25K by Medicaid between Apr 2018 and Dec 2018, across 11 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.

33Billing provider infoCALL, VAUGHN
RIO RANCHO, NM 87124

33aNPI1235596149assigned 01/22/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims687

24DCodes billed11

24AFirst – last monthApr 2018 – Dec 2018

Compared with peers

Next to other General Practice Dentistry providers in New Mexico

Rank by total paid#121 of 202

Median peer was paid$44K

This provider vs. median0.6×

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	687	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	31%	65	15	$8K
D1120	Dental cleaning, childProphylaxis - child	19%	185	184	$5K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	18%	57	13	$5K
D1208	Topical application of fluoride, excluding varnish	11%	186	185	$3K
D0272	Bitewings - two radiographic images	6.4%	76	76	$2K
D0150	Comprehensive oral evaluation - new or established patient	6.3%	45	45	$2K
D9420		3.6%	12	12	$903.42
D0140	Limited oral evaluation - problem focused	1.6%	13	13	$392.73
D0220	Intraoral - periapical first radiographic image	1.2%	24	24	$301.62
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.1%	12	12	$278.39
D0230	Intraoral - periapical each additional radiographic image	<1%	12	12	$108.71

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.