Dental
Pueblo De Ninos Dental, PC
Pueblo De Ninos Dental, PC was paid $1.02M by Medicaid between Jan 2018 and May 2022, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoPUEBLO DE NINOS DENTAL, PC
SANTA FE, NM 87507
SANTA FE, NM 87507
33aNPI1720305105assigned 04/26/2010
33bProvider typePediatric Dentist
28Total paid$1.02M
24GClaims36,229
24DCodes billed17
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#14 of 44
Median peer was paid$240K
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 | 11,091 | $325K | |
| 2019 | 8,784 | $251K | |
| 2020 | 7,905 | $223K | |
| 2021 | 6,874 | $183K | |
| 2022 | 1,575 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 7,991 | 7,991 | $248K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 7,582 | 7,581 | $169K |
| D0274 | Bitewings - four radiographic images | 11% | 4,039 | 4,039 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 1,345 | 905 | $98K |
| D1206 | Topical application of fluoride varnish | 7.7% | 4,301 | 4,301 | $78K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.4% | 2,060 | 1,985 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 2,867 | 2,867 | $50K |
| D1351 | Sealant - per tooth | 4.8% | 2,105 | 916 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 653 | 394 | $42K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 1,034 | 1,017 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 466 | 364 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.3% | 209 | 129 | $24K |
5 more codes
| D0272 | Bitewings - two radiographic images | 1.6% | 821 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 394 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 146 | $2K |
| D1110 | Prophylaxis - adult | <1% | 54 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 162 | $2K |
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 officialBORRERO, DANIEL (PRESIDENT)