Clinic
A to Z Children's Dental Clinic, LLC
A to Z Children's Dental Clinic, LLC was paid $270K by Medicaid between Jan 2018 and Jun 2018, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoA TO Z CHILDREN'S DENTAL CLINIC, LLC
GRANTS, NM 87020
GRANTS, NM 87020
33aNPI1275738668assigned 06/18/2007
33bProvider typeDental Clinic/Center
28Total paid$270K
24GClaims8,253
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#24 of 41
Median peer was paid$351K
This provider vs. median0.8×
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 | 8,253 | $270K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,219 | 1,204 | $38K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 11% | 1,131 | 930 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 788 | 780 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 1,349 | 1,336 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | 8.8% | 372 | 238 | $24K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.1% | 193 | 100 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 310 | 211 | $17K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.5% | 210 | 152 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 190 | 152 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 548 | 542 | $12K |
| D0272 | Bitewings - two radiographic images | 4.1% | 540 | 529 | $11K |
| D1351 | Sealant - per tooth | 4.0% | 458 | 189 | $11K |
8 more codes
| D2140 | 3.2% | 155 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 435 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 123 | $4K |
| D2330 | 1.2% | 53 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 29 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 53 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 47 | $404.29 |
| D1354 | 0% | 50 | $0.00 |
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 officialGLADNEY, MARCELLUS (PRESIDENT)