Clinic
Dentistry on ST. Michaels LLC
Dentistry on ST. Michaels LLC was paid $514K by Medicaid between Jan 2018 and Aug 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoDENTISTRY ON ST. MICHAELS LLC
SANTA FE, NM 87505
SANTA FE, NM 87505
33aNPI1376710483assigned 05/08/2008
33bProvider typeDental Clinic/Center
28Total paid$514K
24GClaims13,677
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#16 of 41
Median peer was paid$351K
This provider vs. median1.5×
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 | 3,309 | $134K | |
| 2019 | 1,984 | $78K | |
| 2020 | 1,382 | $52K | |
| 2021 | 1,892 | $80K | |
| 2022 | 1,999 | $77K | |
| 2023 | 2,175 | $64K | |
| 2024incomplete | 936 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 3,446 | 3,424 | $119K |
| D0274 | Bitewings - four radiographic images | 18% | 3,236 | 3,217 | $93K |
| D1110 | Prophylaxis - adult | 16% | 1,841 | 1,834 | $83K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 657 | 393 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.6% | 533 | 331 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 435 | 186 | $28K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 961 | 929 | $28K |
| D0330 | Panoramic radiographic image | 5.0% | 640 | 637 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.2% | 99 | 42 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 1,009 | 979 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 143 | 86 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 352 | 348 | $6K |
3 more codes
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 officialGARRIS, CHRISTINE (SENIOR PRACTICE MANAGER)