Dental
Sundance Dental Care of Grants
Sundance Dental Care of Grants was paid $453K by Medicaid between Jan 2018 and Dec 2021, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoSUNDANCE DENTAL CARE OF GRANTS
GRANTS, NM 87020
GRANTS, NM 87020
33aNPI1467818518assigned 01/05/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$453K
24GClaims19,186
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#47 of 202
Median peer was paid$44K
This provider vs. median10×
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 | 4,557 | $123K | |
| 2019 | 4,920 | $112K | |
| 2020 | 3,717 | $89K | |
| 2021 | 5,992 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 2,336 | 2,242 | $76K |
| D0274 | Bitewings - four radiographic images | 15% | 2,417 | 2,327 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,853 | 1,794 | $55K |
| D1110 | Prophylaxis - adult | 9.5% | 1,064 | 1,008 | $43K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 3,665 | 3,484 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.0% | 493 | 321 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 1,579 | 1,528 | $27K |
| D0140 | Limited oral evaluation - problem focused | 5.6% | 898 | 855 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 2,589 | 2,452 | $22K |
| D1206 | Topical application of fluoride varnish | 4.2% | 1,107 | 1,051 | $19K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 156 | 57 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 481 | 463 | $10K |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 90 | $6K |
| D0330 | Panoramic radiographic image | 1.2% | 173 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 104 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 52 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 129 | $2K |
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 officialKING, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Upperline Healthcare California PC | Orange, CA | $1.81M |
| Upperline Healthcare, PC | Birmingham, AL | $1.45M |
| Allergy and Asthma Associates LLC | Trumbull, CT | $618K |
| Geriatric Specialties LLC | Pontotoc, MS | $188K |
| Michael W King, DDS, PLC | Jackson, TN | $21K |
| Desert Edge Physical Therapy LLC | Peoria, AZ | $4K |
| Michael a King DDS LLC | Camp Springs, MD | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.