Dental
Just Clean Smiles, LLC
Just Clean Smiles, LLC was paid $170K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoJUST CLEAN SMILES, LLC
LOS LUNAS, NM 87031
LOS LUNAS, NM 87031
33aNPI1609176965assigned 11/02/2010
33bProvider typeDentist
28Total paid$170K
24GClaims8,246
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#58 of 179
Median peer was paid$47K
This provider vs. median3.6×
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 | 2,359 | $43K | |
| 2019 | 1,589 | $33K | |
| 2020 | 1,217 | $27K | |
| 2021 | 1,432 | $32K | |
| 2022 | 898 | $19K | |
| 2023 | 472 | $10K | |
| 2024incomplete | 279 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 1,046 | 1,007 | $35K |
| D1110 | Prophylaxis - adult | 20% | 858 | 826 | $34K |
| D0274 | Bitewings - four radiographic images | 19% | 1,147 | 1,117 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,449 | 1,408 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 2,091 | 1,391 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 9.8% | 1,552 | 1,488 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 58 | 58 | $2K |
| D4346 | <1% | 13 | 13 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | 12 | $809.47 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 17 | 17 | $371.11 |
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 officialRIORDAN, DONNA (MANAGER/DENTAL HYGIENIST)