Dental
Small Fry Dentistry PC
Small Fry Dentistry PC was paid $2.53M by Medicaid between Jan 2018 and Sep 2023, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoSMALL FRY DENTISTRY PC
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1639361371assigned 08/16/2007
33bProvider typeDentist
28Total paid$2.53M
24GClaims75,103
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#12 of 179
Median peer was paid$47K
This provider vs. median54×
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 | 14,032 | $455K | |
| 2019 | 15,385 | $528K | |
| 2020 | 9,967 | $327K | |
| 2021 | 14,764 | $502K | |
| 2022 | 12,262 | $414K | |
| 2023 | 8,693 | $303K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 4,085 | 2,324 | $491K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 11,018 | 10,630 | $337K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 8,151 | 7,842 | $278K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 3,075 | 1,839 | $219K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 3,458 | 1,930 | $184K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 9,782 | 9,365 | $171K |
| D0240 | 5.5% | 11,302 | 6,265 | $139K | |
| D1206 | Topical application of fluoride varnish | 4.4% | 6,166 | 5,901 | $111K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 1,686 | 991 | $111K |
| D1351 | Sealant - per tooth | 3.9% | 4,335 | 1,654 | $100K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 3,625 | 3,511 | $80K |
| D0274 | Bitewings - four radiographic images | 3.0% | 2,658 | 2,523 | $76K |
9 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.8% | 847 | $72K |
| D0272 | Bitewings - two radiographic images | 2.1% | 2,655 | $53K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,198 | $35K |
| D2330 | <1% | 338 | $24K | |
| D2331 | <1% | 239 | $20K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 168 | $12K |
| D2140 | <1% | 227 | $12K | |
| D1110 | Prophylaxis - adult | <1% | 76 | $3K |
| D2160 | <1% | 14 | $1K |
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 officialVALDA, EDUARDO (OWNER)