Four Corners Orthodontics Centers INC

Four Corners Orthodontics Centers INC was paid $11K by Medicaid between Feb 2018 and Oct 2020, across 6 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 24% of everything it billed.

33Billing provider infoFOUR CORNERS ORTHODONTICS CENTERS INC
FARMINGTON, NM 87401

33aNPI1730232588assigned 01/18/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$11K

24GClaims548

24DCodes billed6

24AFirst – last monthFeb 2018 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in New Mexico

Rank by total paid#141 of 202

Median peer was paid$44K

This provider vs. median0.3×

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	425	$9K
2019	48	$617.51
2020	75	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	24%	92	92	$3K
D0230	Intraoral - periapical each additional radiographic image	18%	127	118	$2K
D0150	Comprehensive oral evaluation - new or established patient	17%	59	59	$2K
D1208	Topical application of fluoride, excluding varnish	16%	104	104	$2K
D0220	Intraoral - periapical first radiographic image	13%	136	136	$1K
D1110	Prophylaxis - adult	11%	30	30	$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 officialHERMAN, DAVID (ORHTODONTIST)