Dental
Sandefer Premier Dental, LLC
Sandefer Premier Dental, LLC was paid $360K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoSANDEFER PREMIER DENTAL, LLC
DENHAM SPRINGS, LA 70726
DENHAM SPRINGS, LA 70726
33aNPI1679922033assigned 06/07/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$360K
24GClaims8,975
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#110 of 412
Median peer was paid$83K
This provider vs. median4.3×
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 | 385 | $9K | |
| 2020 | 509 | $10K | |
| 2021 | 127 | $3K | |
| 2022 | 467 | $15K | |
| 2023 | 3,298 | $137K | |
| 2024incomplete | 4,189 | $186K |
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 | 21% | 625 | 357 | $77K |
| D1110 | Prophylaxis - adult | 19% | 1,453 | 1,260 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,601 | 1,432 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 928 | 794 | $40K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 268 | 142 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 1,330 | 1,264 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 733 | 708 | $25K |
| D0272 | Bitewings - two radiographic images | 5.9% | 1,311 | 1,232 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 240 | 182 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 94 | 78 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | 15 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 23 | 12 | $1K |
3 more codes
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 officialSANDEFER, CLINT (OWNER)