Dental
3501 North Butler Avenue Farmington Professional LLC
3501 North Butler Avenue Farmington Professional LLC was paid $1.05M by Medicaid between Feb 2021 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 12% of everything it billed.
33Billing provider info3501 NORTH BUTLER AVENUE FARMINGTON PROFESSIONAL LLC
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1285252627assigned 07/13/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$1.05M
24GClaims36,929
24DCodes billed20
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#32 of 202
Median peer was paid$44K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2021 | 13,969 | $409K | |
| 2022 | 14,296 | $384K | |
| 2023 | 5,204 | $139K | |
| 2024incomplete | 3,460 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12% | 3,055 | 3,004 | $125K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 1,899 | 617 | $125K |
| D0274 | Bitewings - four radiographic images | 12% | 4,281 | 4,190 | $123K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,422 | 3,340 | $118K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 1,295 | 844 | $94K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 6,788 | 4,308 | $76K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 3,966 | 3,896 | $71K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 5,207 | 5,057 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 1,616 | 1,588 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 682 | 458 | $38K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 1,282 | 1,238 | $37K |
| D0330 | Panoramic radiographic image | 2.7% | 832 | 806 | $29K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 401 | $24K |
| D0120 | Dental checkup, returning patient | 2.2% | 1,020 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 244 | $22K |
| D4346 | 1.5% | 129 | $15K | |
| D1351 | Sealant - per tooth | 1.3% | 611 | $13K |
| D2335 | <1% | 25 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 162 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $333.49 |
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 officialGRUMBOS, PETER (PRACTICE OWNER)
| Provider | Location | Paid |
|---|---|---|
| 1661 W 2ND Corsicana Professional, PLLC | Corsicana, TX | $1.65M |
| 920 Lobo Canyon Grants Professional, LLC | Grants, NM | $560K |
| 100 South Bloomfield Professional, LLC | Bloomfield, NM | $506K |
| Lubbock Dental Care Professionals, PLLC | Lubbock, TX | $253K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.