Dental
Sandia Pediatric Dentistry
Sandia Pediatric Dentistry was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoSANDIA PEDIATRIC DENTISTRY
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1497008312assigned 10/16/2012
33bProvider typePediatric Dentist
28Total paid$1.58M
24GClaims61,585
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#11 of 44
Median peer was paid$240K
This provider vs. median6.6×
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 | 10,009 | $242K | |
| 2019 | 11,007 | $295K | |
| 2020 | 7,649 | $206K | |
| 2021 | 11,106 | $317K | |
| 2022 | 9,484 | $237K | |
| 2023 | 7,911 | $184K | |
| 2024incomplete | 4,419 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 10,134 | 10,094 | $319K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 1,820 | 459 | $209K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 4,323 | 4,307 | $151K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 6,519 | 6,488 | $145K |
| D1206 | Topical application of fluoride varnish | 9.1% | 7,806 | 7,785 | $144K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 8,544 | 4,212 | $114K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 7,887 | 7,826 | $89K |
| D0272 | Bitewings - two radiographic images | 4.8% | 3,710 | 3,693 | $75K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 1,314 | 910 | $71K |
| D0274 | Bitewings - four radiographic images | 3.0% | 1,649 | 1,643 | $48K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 2,529 | 2,509 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 503 | 418 | $35K |
6 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 officialSJOSTROM, DANEN (PEDIATRIC DENTIST)