Dental
Orthodental PC
Orthodental PC was paid $209K by Medicaid between Feb 2018 and Oct 2024, across 16 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 18% of everything it billed.
33Billing provider infoORTHODENTAL PC
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1750622072assigned 03/12/2013
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$209K
24GClaims9,124
24DCodes billed16
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in New Mexico
Rank by total paid#7 of 30
Median peer was paid$48K
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 | 1,648 | $38K | |
| 2019 | 1,392 | $25K | |
| 2020 | 717 | $9K | |
| 2021 | 602 | $14K | |
| 2022 | 957 | $18K | |
| 2023 | 2,330 | $62K | |
| 2024incomplete | 1,478 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 18% | 1,403 | 1,358 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 527 | 264 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 915 | 881 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 280 | 155 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.6% | 2,074 | 1,504 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 1,713 | 1,640 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 899 | 864 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 409 | 386 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 658 | 642 | $13K |
| D1110 | Prophylaxis - adult | 2.5% | 125 | 120 | $5K |
| D8660 | 2.1% | 53 | 50 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 16 | 13 | $696.37 |
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 officialWILSON, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| All Kids Dental of Suffolk PC | Suffolk, VA | $2.76M |
| Keys for Sober Living, LLC | New Iberia, LA | $1.79M |
| DR. Joseph A. Wilson DMD, MSD, LLC | Farmington, NM | $164K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.