Dental
Pearly Whites Dental Hygiene, INC.
Pearly Whites Dental Hygiene, INC. was paid $277K by Medicaid between Jan 2018 and Aug 2019, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoPEARLY WHITES DENTAL HYGIENE, INC.
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1740392778assigned 08/31/2006
33bProvider typeDental Hygienist
28Total paid$277K
24GClaims10,777
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Dental Hygienist providers in New Mexico
Rank by total paid#1 of 6
Median peer was paid$21K
This provider vs. median13×
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 | 7,131 | $185K | |
| 2019 | 3,646 | $92K |
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 | 15% | 581 | 360 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 1,200 | 1,198 | $41K |
| D0274 | Bitewings - four radiographic images | 13% | 1,246 | 1,242 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,109 | 1,107 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 1,530 | 1,529 | $27K |
| D1110 | Prophylaxis - adult | 9.2% | 568 | 567 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,816 | 1,789 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 1,484 | 1,462 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 555 | 554 | $12K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 408 | 392 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 81 | 55 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 68 | 67 | $4K |
4 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 officialPROFAZI, SHIRLEY (OWNER DENTAL HYGIENIST)