Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NM DENTAL GROUP LLC

NPI: 1316691850 · RIO RANCHO, NM 87124 · Dentist · NPI assigned 02/03/2022

$27K
Total Medicaid Paid
697
Total Claims
533
Beneficiaries
8
Codes Billed
2023-04
First Month
2024-02
Last Month

Provider Details

Authorized OfficialHANNA, GEORGE (OWNER)
NPI Enumeration Date02/03/2022

Related Entities

Other providers sharing the same authorized official: HANNA, GEORGE

ProviderCityStateTotal Paid
SOCORRO DENTAL LLC SOCORRO NM $400K
SOCORRO DENTAL CARE INC. RIO RANCHO NM $66K
HANNA HEALTH ASSOCIATES, P.S.C LEXINGTON KY $13K
NEW MEXICO DENTAL INSTITUTE INC SOCORRO NM $6K
NEW MEXICO DENTAL CLINICS LLC RIO RANCHO NM $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 663 $26K
2024 34 $410.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9410 101 91 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 129 33 $7K
D9110 67 62 $3K
D0230 Intraoral - periapical each additional radiographic image 164 132 $2K
D0220 Intraoral - periapical first radiographic image 152 143 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 12 $2K
D0272 Bitewings - two radiographic images 46 45 $926.16
D0274 Bitewings - four radiographic images 16 15 $458.25