Dental
920 Lobo Canyon Grants Professional, LLC
920 Lobo Canyon Grants Professional, LLC was paid $560K by Medicaid between Feb 2022 and Dec 2024, across 19 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 13% of everything it billed.
33Billing provider info920 LOBO CANYON GRANTS PROFESSIONAL, LLC
GRANTS, NM 87020
GRANTS, NM 87020
33aNPI1477218964assigned 11/01/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$560K
24GClaims22,232
24DCodes billed19
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#43 of 202
Median peer was paid$44K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2022 | 5,966 | $129K | |
| 2023 | 8,954 | $232K | |
| 2024incomplete | 7,312 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 13% | 2,574 | 2,527 | $73K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 858 | 600 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,786 | 1,750 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,922 | 1,891 | $60K |
| D1110 | Prophylaxis - adult | 11% | 1,422 | 1,391 | $60K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 3,471 | 3,350 | $38K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 1,917 | 1,897 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 1,545 | 1,511 | $32K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 940 | 918 | $27K |
| D0330 | Panoramic radiographic image | 4.6% | 942 | 912 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 2,718 | 2,628 | $24K |
| D1206 | Topical application of fluoride varnish | 3.6% | 1,182 | 1,144 | $20K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 233 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 112 | $10K |
| D0272 | Bitewings - two radiographic images | 1.4% | 393 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 85 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 67 | $4K |
| D2331 | <1% | 43 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 22 | $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 officialGRUMBOS, PETER (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| 1661 W 2ND Corsicana Professional, PLLC | Corsicana, TX | $1.65M |
| 3501 North Butler Avenue Farmington Professional LLC | Farmington, NM | $1.05M |
| 100 South Bloomfield Professional, LLC | Bloomfield, NM | $506K |
| Lubbock Dental Care Professionals, PLLC | Lubbock, TX | $253K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.