Dental
Chisholm, Douglas
Chisholm, Douglas was paid $122K by Medicaid between Jun 2020 and Dec 2023, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoCHISHOLM, DOUGLAS
ALBUQUERQUE, NM 87112
ALBUQUERQUE, NM 87112
33aNPI1619283702assigned 08/26/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$122K
24GClaims3,942
24DCodes billed13
24AFirst – last monthJun 2020 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#81 of 202
Median peer was paid$44K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 89 | $2K | |
| 2021 | 660 | $17K | |
| 2022 | 2,321 | $74K | |
| 2023 | 872 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 772 | 772 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 359 | 200 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 8.7% | 186 | 186 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 924 | 894 | $10K |
| D0274 | Bitewings - four radiographic images | 7.4% | 301 | 301 | $9K |
| D1110 | Prophylaxis - adult | 5.7% | 152 | 152 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 303 | 303 | $6K |
| D9110 | 4.2% | 95 | 93 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.2% | 59 | 39 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 502 | 450 | $5K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 136 | 133 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 65 | 38 | $4K |
1 more codes
| D1120 | Dental cleaning, child | 2.3% | 88 | $3K |
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.