Dental
Pacheco Family Dentistry LLC
Pacheco Family Dentistry LLC was paid $96K by Medicaid between Jan 2023 and Dec 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoPACHECO FAMILY DENTISTRY LLC
TUCUMCARI, NM 88401
TUCUMCARI, NM 88401
33aNPI1689290983assigned 06/22/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$96K
24GClaims10,664
24DCodes billed14
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#86 of 202
Median peer was paid$44K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2023 | 5,765 | $24K | |
| 2024incomplete | 4,899 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 1,339 | 760 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,394 | 782 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 1,804 | 1,006 | $13K |
| D0274 | Bitewings - four radiographic images | 11% | 978 | 536 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 9.1% | 1,910 | 1,065 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.5% | 1,633 | 913 | $6K |
| D0272 | Bitewings - two radiographic images | 5.4% | 551 | 321 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 460 | 245 | $3K |
| D0330 | Panoramic radiographic image | 3.0% | 183 | 117 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 72 | 30 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 38 | 28 | $2K |
| D1110 | Prophylaxis - adult | 1.9% | 79 | 54 | $2K |
2 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 officialPACHECO, VICTOR (CEO)