Dental
DDS Catalyst Country Club LLC
DDS Catalyst Country Club LLC was paid $734K by Medicaid between Jan 2018 and Apr 2021, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoDDS CATALYST COUNTRY CLUB LLC
FARMINGTON, NM 87402
FARMINGTON, NM 87402
33aNPI1255445706assigned 08/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$734K
24GClaims22,976
24DCodes billed21
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#38 of 202
Median peer was paid$44K
This provider vs. median17×
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 | 6,896 | $224K | |
| 2019 | 8,037 | $245K | |
| 2020 | 7,738 | $259K | |
| 2021 | 305 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,828 | 906 | $117K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,489 | 2,349 | $80K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.9% | 831 | 292 | $73K |
| D0274 | Bitewings - four radiographic images | 8.8% | 2,394 | 2,282 | $65K |
| D9243 | 8.5% | 933 | 285 | $62K | |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 3,022 | 2,864 | $51K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 1,767 | 1,660 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 3,220 | 3,036 | $34K |
| D1110 | Prophylaxis - adult | 4.2% | 763 | 733 | $31K |
| D9239 | 4.2% | 288 | 260 | $31K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 855 | 808 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.0% | 290 | 170 | $22K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 2,386 | $20K |
| D0120 | Dental checkup, returning patient | 2.0% | 762 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 276 | $13K |
| D0330 | Panoramic radiographic image | 1.8% | 270 | $13K |
| D4346 | 1.4% | 87 | $10K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 99 | $7K |
| D9610 | <1% | 279 | $6K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 97 | $5K |
| D4341 | <1% | 40 | $5K |
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 officialASHBY, ANDREW (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DDS Catalyst Farmington, LLC | Farmington, NM | $1.84M |
| DDS Catalyst Pagosa, LLC | Pagosa Springs, CO | $316K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.