Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOCORRO DENTAL CARE INC.

NPI: 1255814968 · RIO RANCHO, NM 87124 · General Practice Dentistry · NPI assigned 09/09/2018

$66K
Total Medicaid Paid
1,335
Total Claims
1,176
Beneficiaries
11
Codes Billed
2019-10
First Month
2023-09
Last Month

Provider Details

Authorized OfficialHANNA, GEORGE (OWNER)
NPI Enumeration Date09/09/2018

Related Entities

Other providers sharing the same authorized official: HANNA, GEORGE

ProviderCityStateTotal Paid
SOCORRO DENTAL LLC SOCORRO NM $400K
NM DENTAL GROUP LLC RIO RANCHO NM $27K
HANNA HEALTH ASSOCIATES, P.S.C LEXINGTON KY $13K
NEW MEXICO DENTAL INSTITUTE INC SOCORRO NM $6K
NEW MEXICO DENTAL CLINICS LLC RIO RANCHO NM $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 165 $10K
2020 824 $43K
2021 224 $9K
2023 122 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9410 502 431 $48K
D0150 Comprehensive oral evaluation - new or established patient 106 105 $4K
D0274 Bitewings - four radiographic images 126 123 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 53 18 $3K
D0220 Intraoral - periapical first radiographic image 241 230 $3K
D0230 Intraoral - periapical each additional radiographic image 224 191 $2K
D9110 23 20 $1K
D1110 Prophylaxis - adult 15 15 $695.58
D9995 16 15 $474.32
D0140 Limited oral evaluation - problem focused 15 14 $444.44
D1208 Topical application of fluoride, excluding varnish 14 14 $257.11