Dental
Legacy Dental Partners LLC
Legacy Dental Partners LLC was paid $472K by Medicaid between Feb 2018 and Nov 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoLEGACY DENTAL PARTNERS LLC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1295277903assigned 11/11/2016
33bProvider typeDentist
28Total paid$472K
24GClaims20,114
24DCodes billed14
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#39 of 179
Median peer was paid$47K
This provider vs. median10×
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 | 438 | $13K | |
| 2019 | 1,096 | $35K | |
| 2020 | 1,901 | $47K | |
| 2021 | 3,549 | $82K | |
| 2022 | 4,531 | $100K | |
| 2023 | 4,984 | $117K | |
| 2024incomplete | 3,615 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 2,942 | 2,934 | $102K |
| D1110 | Prophylaxis - adult | 16% | 1,844 | 1,836 | $75K |
| D0274 | Bitewings - four radiographic images | 15% | 2,605 | 2,591 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 4,555 | 3,323 | $53K |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 3,952 | 3,913 | $44K |
| D4346 | 6.2% | 247 | 246 | $29K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 1,447 | 1,441 | $26K |
| D0330 | Panoramic radiographic image | 4.4% | 705 | 702 | $21K |
| D1206 | Topical application of fluoride varnish | 3.0% | 805 | 803 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 361 | 361 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 106 | 67 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 206 | 201 | $6K |
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 officialANDERSON, STEWART (PARTNER)