Dental
Dentistry Divine Smile, INC.
Dentistry Divine Smile, INC. was paid $255K by Medicaid between Jan 2018 and Jun 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoDENTISTRY DIVINE SMILE, INC.
DEMING, NM 88030
DEMING, NM 88030
33aNPI1265766927assigned 09/29/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$255K
24GClaims8,426
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#57 of 202
Median peer was paid$44K
This provider vs. median5.8×
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 | 2,661 | $83K | |
| 2019 | 663 | $19K | |
| 2020 | 954 | $30K | |
| 2021 | 1,227 | $39K | |
| 2022 | 1,637 | $47K | |
| 2023 | 839 | $22K | |
| 2024incomplete | 445 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 1,220 | 1,209 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,941 | 1,930 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,445 | 1,438 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 558 | 249 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.2% | 702 | 691 | $24K |
| D0330 | Panoramic radiographic image | 9.2% | 463 | 455 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 631 | 628 | $19K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 371 | 361 | $10K |
| D0274 | Bitewings - four radiographic images | 4.0% | 357 | 356 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 106 | 70 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 93 | 46 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 490 | 462 | $5K |
2 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 officialARGANT, RICHARD (PRESIDENT)