Dental
NM Smiles Go
NM Smiles Go was paid $124K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is D9410, — 56% of everything it billed.
33Billing provider infoNM SMILES GO
ALBUQUERQUE, NM 87120
ALBUQUERQUE, NM 87120
33aNPI1295080661assigned 07/20/2012
33bProvider typeDental Hygienist
28Total paid$124K
24GClaims2,667
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Dental Hygienist providers in New Mexico
Rank by total paid#3 of 6
Median peer was paid$21K
This provider vs. median5.9×
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 | 1,644 | $77K | |
| 2019 | 269 | $11K | |
| 2021 | 78 | $4K | |
| 2022 | 574 | $28K | |
| 2023 | 102 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9410 | 56% | 750 | 739 | $70K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 682 | 675 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 555 | 554 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 475 | 474 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 84 | 28 | $5K |
| D1206 | Topical application of fluoride varnish | 1.4% | 97 | 97 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 24 | 24 | $537.84 |
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 officialJANCSICS, GALE (EXECUTIVE DIRECTOR)