Dental
Peppermint Dental-Montgomery LLC
Peppermint Dental-Montgomery LLC was paid $2.14M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoPEPPERMINT DENTAL-MONTGOMERY LLC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1790089068assigned 12/30/2010
33bProvider typeDentist
28Total paid$2.14M
24GClaims68,958
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#14 of 179
Median peer was paid$47K
This provider vs. median45×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
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 | 9,165 | $334K | |
| 2019 | 9,302 | $272K | |
| 2020 | 9,304 | $277K | |
| 2021 | 10,144 | $290K | |
| 2022 | 11,682 | $350K | |
| 2023 | 11,426 | $358K | |
| 2024incomplete | 7,935 | $257K |
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 | 13% | 3,964 | 1,887 | $284K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 7,663 | 7,612 | $266K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 6,493 | 6,467 | $206K |
| D0274 | Bitewings - four radiographic images | 7.9% | 6,203 | 6,157 | $168K |
| D4346 | 6.3% | 1,115 | 1,110 | $134K | |
| D0210 | Intraoral - complete series of radiographic images | 6.0% | 2,308 | 2,244 | $129K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 6,151 | 6,125 | $111K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 8,815 | 6,857 | $106K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 8,308 | 8,196 | $93K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,613 | 848 | $88K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.5% | 859 | 557 | $74K |
| D1206 | Topical application of fluoride varnish | 3.1% | 3,654 | 3,633 | $67K |
23 more codes
| D1110 | Prophylaxis - adult | 3.1% | 1,510 | $67K |
| D0120 | Dental checkup, returning patient | 3.1% | 2,975 | $66K |
| D1351 | Sealant - per tooth | 2.8% | 2,505 | $59K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 663 | $42K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 1,138 | $32K |
| D4341 | 1.2% | 208 | $25K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 187 | $20K |
| D2394 | <1% | 175 | $18K | |
| D0272 | Bitewings - two radiographic images | <1% | 849 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 642 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 120 | $13K |
| D0330 | Panoramic radiographic image | <1% | 213 | $8K |
| D2331 | <1% | 82 | $7K | |
| D8660 | <1% | 58 | $6K | |
| D9243 | <1% | 16 | $2K | |
| D7510 | <1% | 13 | $2K | |
| D2332 | <1% | 16 | $2K | |
| D0270 | <1% | 166 | $2K | |
| D2330 | <1% | 23 | $2K | |
| D9239 | <1% | 12 | $1K | |
| D9110 | <1% | 13 | $730.67 | |
| D0603 | 0% | 205 | $0.00 | |
| D0602 | 0% | 23 | $0.00 |
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 officialPU, MARY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Red Rock Dental-Farmington | Irving, TX | $3.59M |
| Sage Dental | Baytown, TX | $2.35M |
| Sage Dental-Deer Park PLLC | La Porte, TX | $1.87M |
| Vinh Ngo Dentistry PLLC | Victoria, TX | $1.65M |
| Element Dental-Bryan PLLC | Bryan, TX | $1.57M |
| Fusion Dental | Irving, TX | $1.49M |
| Element Dental-Conroe PLLC | Irving, TX | $1.49M |
| Gulfside Dental Port Arthur PLLC | Port Arthur, TX | $1.39M |
| Peppermint Dental-Rio Bravo LLC | Albuquerque, NM | $1.29M |
| Fresh Dental-Shreveport | Irving, TX | $1.27M |
| Fresh Dental-Bossier City | Irving, TX | $1.21M |
| Peppermint Dental-Sherman PLLC | Sherman, TX | $1.17M |
| Element Dental PLLC | Lufkin, TX | $1.06M |
| Rio Dental and Orthodontics LLC | Rio Rancho, NM | $1.00M |
| Element Dental-Humble PLLC | Humble, TX | $942K |
| Gulfside Dental | Beaumont, TX | $939K |
| Legend Dental-Georgetown | Georgetown, TX | $919K |
| Bliss Dental PLLC | Odessa, TX | $827K |
| Bliss Dental Lubbock PLLC | Lubbock, TX | $826K |
| Archstone Dental-Granbury PLLC | Granbury, TX | $817K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.