Dental
DR David J Herman's Four Corners Dental, LLC
DR David J Herman's Four Corners Dental, LLC was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 18% of everything it billed.
33Billing provider infoDR DAVID J HERMAN'S FOUR CORNERS DENTAL, LLC
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1255753976assigned 01/15/2014
33bProvider typeDentist
28Total paid$1.19M
24GClaims50,081
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#23 of 179
Median peer was paid$47K
This provider vs. median25×
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 | 9,770 | $236K | |
| 2019 | 10,492 | $253K | |
| 2020 | 6,981 | $154K | |
| 2021 | 7,150 | $169K | |
| 2022 | 6,709 | $171K | |
| 2023 | 5,193 | $125K | |
| 2024incomplete | 3,786 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 18% | 7,303 | 7,084 | $210K |
| D1110 | Prophylaxis - adult | 15% | 4,209 | 4,100 | $174K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 12,378 | 7,428 | $145K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 4,134 | 3,994 | $143K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 6,356 | 6,184 | $108K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 7,855 | 7,601 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 2,564 | 2,491 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 861 | 534 | $73K |
| D4346 | 4.8% | 585 | 572 | $58K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 1,556 | 1,531 | $36K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 1,141 | 1,094 | $34K |
| D1351 | Sealant - per tooth | 1.8% | 861 | 190 | $22K |
3 more codes
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 officialRIGHTMIRE, KELCEY (ADMINSTRATIVE ASSISTANT)