Dental
Bae, Suho
Bae, Suho was paid $219K by Medicaid between Jan 2024 and Dec 2024, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.
33Billing provider infoBAE, SUHO
ESPANOLA, NM 87532
ESPANOLA, NM 87532
33aNPI1841715992assigned 08/10/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$219K
24GClaims6,244
24DCodes billed21
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#63 of 202
Median peer was paid$44K
This provider vs. median5.0×
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 | 6,244 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 16% | 610 | 213 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 835 | 834 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 420 | 420 | $18K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.8% | 134 | 89 | $17K |
| D4342 | 7.4% | 178 | 60 | $16K | |
| D4341 | 7.3% | 101 | 41 | $16K | |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 189 | 88 | $14K |
| D1206 | Topical application of fluoride varnish | 6.1% | 521 | 519 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 208 | 131 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.2% | 93 | 69 | $9K |
| D0274 | Bitewings - four radiographic images | 4.2% | 479 | 479 | $9K |
| D1110 | Prophylaxis - adult | 3.5% | 200 | 200 | $8K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 836 | $6K |
| D0330 | Panoramic radiographic image | 1.8% | 153 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 790 | $4K |
| D2332 | 1.4% | 27 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 53 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 90 | $2K |
| D0272 | Bitewings - two radiographic images | 1.1% | 209 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 89 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29 | $791.70 |
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.