Dental
Salud Dental Group Chaparral
Salud Dental Group Chaparral was paid $6K by Medicaid between Feb 2020 and Aug 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 51% of everything it billed.
33Billing provider infoSALUD DENTAL GROUP CHAPARRAL
CHAPARRAL, NM 88081
CHAPARRAL, NM 88081
33aNPI1336796473assigned 08/22/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims230
24DCodes billed6
24AFirst – last monthFeb 2020 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#157 of 202
Median peer was paid$44K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 28 | $763.22 | |
| 2022 | 25 | $692.66 | |
| 2023 | 52 | $841.14 | |
| 2024incomplete | 125 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 51% | 90 | 90 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 25% | 85 | 85 | $1K |
| D1110 | Prophylaxis - adult | 12% | 14 | 14 | $684.36 |
| D0274 | Bitewings - four radiographic images | 6.6% | 12 | 12 | $369.51 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 16 | 12 | $157.63 |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 13 | 13 | $154.58 |
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 officialSANTISTEVAN, LISA (MANAGER)