Dental
Enchanted Smiles
Enchanted Smiles was paid $672.10 by Medicaid between Oct 2024 and Oct 2024, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 60% of everything it billed.
33Billing provider infoENCHANTED SMILES
BELEN, NM 87002
BELEN, NM 87002
33aNPI1821430968assigned 07/17/2013
33bProvider typeDental Hygienist
28Total paid$672.10
24GClaims26
24DCodes billed2
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other Dental Hygienist providers in New Mexico
Rank by total paid#6 of 6
Median peer was paid$21K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 26 | $672.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 60% | 12 | 12 | $402.20 |
| D1206 | Topical application of fluoride varnish | 40% | 14 | 14 | $269.90 |
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 officialMONTOYA, DEANNA (OWNER)