Clinic
Sandia Dental Care LLC
Sandia Dental Care LLC was paid $133K by Medicaid between Apr 2018 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoSANDIA DENTAL CARE LLC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1518345552assigned 05/11/2015
33bProvider typeDental Clinic/Center
28Total paid$133K
24GClaims4,220
24DCodes billed11
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#30 of 41
Median peer was paid$351K
This provider vs. median0.4×
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 | 367 | $12K | |
| 2019 | 225 | $7K | |
| 2020 | 204 | $7K | |
| 2021 | 449 | $16K | |
| 2022 | 708 | $24K | |
| 2023 | 1,180 | $32K | |
| 2024incomplete | 1,087 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 956 | 946 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 1,017 | 1,010 | $35K |
| D0274 | Bitewings - four radiographic images | 23% | 1,034 | 1,022 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.8% | 162 | 95 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 541 | 529 | $6K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 214 | 209 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 80 | 78 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 147 | 125 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 25 | 24 | $456.22 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 32 | 32 | $421.27 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $196.56 |
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 officialKASSAM, SARAH (OWNER)