Clinic
SB Dental LLC
SB Dental LLC was paid $117.92 by Medicaid between Sep 2018 and Sep 2018, across 1 billing code. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoSB DENTAL LLC
LOS LUNAS, NM 87031
LOS LUNAS, NM 87031
33aNPI1376055574assigned 10/27/2017
33bProvider typeDental Clinic/Center
28Total paid$117.92
24GClaims12
24DCodes billed1
24AFirst – last monthSep 2018 – Sep 2018
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#41 of 41
Median peer was paid$351K
This provider vs. median0.0×
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 | 12 | $117.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 12 | 12 | $117.92 |
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 officialYOON, JAJUNG (CEP)