Dental
Serenity Dental and Spa
Serenity Dental and Spa was paid $638K by Medicaid between Jan 2018 and Aug 2024, across 20 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoSERENITY DENTAL AND SPA
ALBUQUERQUE, NM 87123
ALBUQUERQUE, NM 87123
33aNPI1316222938assigned 10/14/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$638K
24GClaims20,302
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#41 of 202
Median peer was paid$44K
This provider vs. median15×
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 | 3,733 | $109K | |
| 2019 | 3,192 | $85K | |
| 2020 | 2,310 | $73K | |
| 2021 | 2,354 | $75K | |
| 2022 | 3,131 | $91K | |
| 2023 | 3,083 | $98K | |
| 2024incomplete | 2,499 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 3,088 | 3,071 | $106K |
| D4346 | 13% | 701 | 699 | $84K | |
| D0274 | Bitewings - four radiographic images | 8.1% | 1,788 | 1,779 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 3,837 | 3,687 | $42K |
| D0330 | Panoramic radiographic image | 6.5% | 805 | 795 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 2,291 | 2,280 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 3,591 | 2,398 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 557 | 349 | $40K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 1,186 | 1,171 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 567 | 284 | $31K |
| D1110 | Prophylaxis - adult | 4.7% | 663 | 663 | $30K |
| D4341 | 4.3% | 214 | 59 | $27K |
8 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.2% | 185 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 377 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 123 | $11K |
| D2335 | 1.5% | 74 | $9K | |
| D1120 | Dental cleaning, child | <1% | 140 | $4K |
| D0270 | <1% | 89 | $882.92 | |
| D9110 | <1% | 14 | $778.11 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $240.93 |
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 officialXAYAVONG, JENNY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Family Dental Health Care | Albuquerque, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.