Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Duke City Pediatric Dentistry

Duke City Pediatric Dentistry was paid $246K by Medicaid between Jan 2018 and Oct 2019, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.

33Billing provider infoDUKE CITY PEDIATRIC DENTISTRY
ALBUQUERQUE, NM 87113
33aNPI1518216746assigned 09/04/2012
33bProvider typePediatric Dentist
28Total paid$246K
24GClaims10,010
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Pediatric Dentist providers in New Mexico

Rank by total paid#22 of 44
Median peer was paid$240K
This provider vs. median1.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20186,250$156K
20193,760$90K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 27% 2,155 2,155 $66K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 2,011 2,010 $44K
D1208 Topical application of fluoride, excluding varnish 16% 2,167 2,165 $38K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.7% 348 171 $24K
D0272 Bitewings - two radiographic images 9.4% 1,203 1,203 $23K
D1351 Sealant - per tooth 5.0% 526 162 $12K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.8% 450 432 $12K
D2930 Prefabricated stainless steel crown - primary tooth 2.1% 43 12 $5K
D0140 Limited oral evaluation - problem focused 2.0% 173 169 $5K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 141 141 $5K
D0220 Intraoral - periapical first radiographic image 1.9% 423 416 $5K
D0230 Intraoral - periapical each additional radiographic image 1.1% 290 128 $3K
5 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 24 $1K
D7140 Extraction, erupted tooth or exposed root <1% 17 $1K
D0330 Panoramic radiographic image <1% 15 $699.70
D0210 Intraoral - complete series of radiographic images <1% 12 $391.05
D0274 Bitewings - four radiographic images <1% 12 $320.03

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 officialCOFFMAN, TAMERA (OWNER DENTIST)