Clinic
CDB Rio Bravo LLC
CDB Rio Bravo LLC was paid $5.72M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 12% of everything it billed.
33Billing provider infoCDB RIO BRAVO LLC
ALBUQUERQUE, NM 87105
ALBUQUERQUE, NM 87105
33aNPI1447500384assigned 09/19/2012
33bProvider typeDental Clinic/Center
28Total paid$5.72M
24GClaims140,443
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#3 of 41
Median peer was paid$351K
This provider vs. median16×
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 | 16,753 | $639K | |
| 2019 | 19,690 | $774K | |
| 2020 | 16,993 | $683K | |
| 2021 | 20,556 | $857K | |
| 2022 | 20,816 | $861K | |
| 2023 | 21,974 | $918K | |
| 2024incomplete | 23,661 | $991K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 12% | 3,626 | 1,268 | $693K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 8,684 | 4,924 | $638K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 16,350 | 16,323 | $569K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 17,463 | 17,448 | $555K |
| D0274 | Bitewings - four radiographic images | 9.1% | 17,858 | 17,821 | $522K |
| D9243 | 7.1% | 4,799 | 2,093 | $405K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 6,755 | 3,584 | $374K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 17,586 | 17,566 | $320K |
| D1110 | Prophylaxis - adult | 4.4% | 5,718 | 5,704 | $249K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 6,117 | 6,016 | $179K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 7,826 | 7,819 | $175K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.0% | 1,549 | 625 | $171K |
12 more codes
| D9239 | 3.0% | 1,366 | $169K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 2,493 | $166K |
| D7230 | 2.2% | 754 | $124K | |
| D0272 | Bitewings - two radiographic images | 2.2% | 6,085 | $124K |
| D0330 | Panoramic radiographic image | 1.8% | 2,743 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 8,286 | $91K |
| D9610 | <1% | 1,907 | $47K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 838 | $23K |
| D1351 | Sealant - per tooth | <1% | 462 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,070 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 41 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 67 | $1K |
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 officialFOUTZ, JONAH (DDS)
| Provider | Location | Paid |
|---|---|---|
| CDB 550 LLC | Bernalillo, NM | $715K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.