Clinic
Angel Fire Dental Corp
Angel Fire Dental Corp was paid $495K by Medicaid between Jan 2020 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoANGEL FIRE DENTAL CORP
ANGEL FIRE, NM 87710
ANGEL FIRE, NM 87710
33aNPI1346802188assigned 07/02/2019
33bProvider typeDental Clinic/Center
28Total paid$495K
24GClaims14,752
24DCodes billed22
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#17 of 41
Median peer was paid$351K
This provider vs. median1.4×
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 | 2,851 | $98K | |
| 2021 | 3,733 | $119K | |
| 2022 | 2,684 | $93K | |
| 2023 | 3,440 | $117K | |
| 2024incomplete | 2,044 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 2,039 | 2,036 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 2,341 | 2,338 | $82K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 1,067 | 1,065 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 3,187 | 3,182 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,707 | 1,704 | $55K |
| D0274 | Bitewings - four radiographic images | 9.4% | 1,581 | 1,559 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 1,011 | 1,010 | $23K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 647 | 625 | $19K |
| D9110 | 2.8% | 246 | 232 | $14K | |
| D2394 | 1.4% | 64 | 51 | $7K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 54 | 39 | $6K |
| D2931 | 1.2% | 42 | 26 | $6K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 423 | $5K |
| D2160 | <1% | 40 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 48 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 38 | $3K |
| D0330 | Panoramic radiographic image | <1% | 46 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 26 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 19 | $1K |
| D1351 | Sealant - per tooth | <1% | 56 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 54 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | $129.03 |
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 officialDOOLIN, TIMOTHY (PRESIDENT)