Dental
Whole Child Dental, LLC
Whole Child Dental, LLC was paid $13.53M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoWHOLE CHILD DENTAL, LLC
SANTA FE, NM 87505
SANTA FE, NM 87505
33aNPI1255639621assigned 03/08/2011
33bProvider typePediatric Dentist
28Total paid$13.53M
24GClaims376,751
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#2 of 44
Median peer was paid$240K
This provider vs. median56×
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 | 34,011 | $1.61M | |
| 2019 | 40,595 | $1.53M | |
| 2020 | 39,969 | $1.55M | |
| 2021 | 55,342 | $1.99M | |
| 2022 | 64,348 | $2.18M | |
| 2023 | 74,905 | $2.42M | |
| 2024incomplete | 67,581 | $2.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 62,630 | 62,449 | $1.98M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 16,405 | 5,981 | $1.89M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 68,529 | 68,327 | $1.55M |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 71,919 | 71,688 | $1.30M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 9.0% | 334 | 329 | $1.21M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 9,469 | 6,651 | $661K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 8,176 | 4,635 | $523K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 17,494 | 17,190 | $476K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 5,615 | 2,579 | $446K |
| D0272 | Bitewings - two radiographic images | 3.3% | 22,157 | 22,091 | $446K |
| D0274 | Bitewings - four radiographic images | 3.2% | 15,044 | 14,978 | $436K |
| D1110 | Prophylaxis - adult | 3.2% | 13,297 | 13,253 | $436K |
14 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 7,669 | $402K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 9,561 | $331K |
| D2929 | 2.1% | 2,459 | $289K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 15,355 | $254K |
| D8660 | 1.6% | 2,081 | $210K | |
| D0330 | Panoramic radiographic image | 1.5% | 4,790 | $208K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 5,913 | $174K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 14,066 | $159K |
| D9420 | <1% | 1,303 | $97K | |
| D1351 | Sealant - per tooth | <1% | 680 | $15K |
| D1510 | <1% | 114 | $14K | |
| D0240 | <1% | 1,362 | $14K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 181 | $5K |
| D1354 | <1% | 148 | $4K |
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 officialHENDRICKS, KRISTIN (OWNER)