Dental
Peppermint Dental-Rio Bravo LLC
Peppermint Dental-Rio Bravo LLC was paid $1.29M by Medicaid between Jan 2018 and Mar 2022, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoPEPPERMINT DENTAL-RIO BRAVO LLC
ALBUQUERQUE, NM 87121
ALBUQUERQUE, NM 87121
33aNPI1609170976assigned 12/30/2010
33bProvider typeDentist
28Total paid$1.29M
24GClaims44,057
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#22 of 179
Median peer was paid$47K
This provider vs. median28×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
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 | 12,499 | $396K | |
| 2019 | 13,046 | $392K | |
| 2020 | 10,962 | $315K | |
| 2021 | 5,352 | $137K | |
| 2022 | 2,198 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 3,315 | 1,599 | $239K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 4,711 | 4,695 | $163K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,141 | 5,129 | $160K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 6,075 | 6,061 | $109K |
| D0274 | Bitewings - four radiographic images | 7.3% | 3,321 | 3,313 | $94K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 1,504 | 1,478 | $85K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 1,164 | 685 | $63K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 5,253 | 5,218 | $59K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 5,152 | 4,533 | $55K |
| D1110 | Prophylaxis - adult | 4.1% | 1,162 | 1,158 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 2,308 | 2,305 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 475 | 287 | $31K |
13 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 315 | $27K |
| D1351 | Sealant - per tooth | 2.0% | 1,064 | $25K |
| D0272 | Bitewings - two radiographic images | 1.8% | 1,126 | $23K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 563 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.0% | 489 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 667 | $12K |
| D4346 | <1% | 70 | $8K | |
| D4341 | <1% | 32 | $4K | |
| D8660 | <1% | 15 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 28 | $1K |
| D0270 | <1% | 54 | $554.47 | |
| D0603 | 0% | 37 | $0.00 | |
| D0602 | 0% | 16 | $0.00 |
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 officialPU, MARY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Red Rock Dental-Farmington | Irving, TX | $3.59M |
| Sage Dental | Baytown, TX | $2.35M |
| Peppermint Dental-Montgomery LLC | Albuquerque, NM | $2.14M |
| Sage Dental-Deer Park PLLC | La Porte, TX | $1.87M |
| Vinh Ngo Dentistry PLLC | Victoria, TX | $1.65M |
| Element Dental-Bryan PLLC | Bryan, TX | $1.57M |
| Fusion Dental | Irving, TX | $1.49M |
| Element Dental-Conroe PLLC | Irving, TX | $1.49M |
| Gulfside Dental Port Arthur PLLC | Port Arthur, TX | $1.39M |
| Fresh Dental-Shreveport | Irving, TX | $1.27M |
| Fresh Dental-Bossier City | Irving, TX | $1.21M |
| Peppermint Dental-Sherman PLLC | Sherman, TX | $1.17M |
| Element Dental PLLC | Lufkin, TX | $1.06M |
| Rio Dental and Orthodontics LLC | Rio Rancho, NM | $1.00M |
| Element Dental-Humble PLLC | Humble, TX | $942K |
| Gulfside Dental | Beaumont, TX | $939K |
| Legend Dental-Georgetown | Georgetown, TX | $919K |
| Bliss Dental PLLC | Odessa, TX | $827K |
| Bliss Dental Lubbock PLLC | Lubbock, TX | $826K |
| Archstone Dental-Granbury PLLC | Granbury, TX | $817K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.