Dental
Tri Dental, LLC
Tri Dental, LLC was paid $184K by Medicaid between Apr 2022 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoTRI DENTAL, LLC
ALBUQUERQUE, NM 87121
ALBUQUERQUE, NM 87121
33aNPI1841803830assigned 08/28/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$184K
24GClaims4,128
24DCodes billed16
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#65 of 202
Median peer was paid$44K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2022 | 14 | $479.50 | |
| 2024incomplete | 4,114 | $183K |
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 | 23% | 555 | 265 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 746 | 746 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 315 | 315 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 473 | 473 | $16K |
| D4341 | 7.3% | 107 | 31 | $13K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 183 | 120 | $10K |
| D1110 | Prophylaxis - adult | 5.6% | 228 | 228 | $10K |
| D0274 | Bitewings - four radiographic images | 4.9% | 312 | 312 | $9K |
| D1206 | Topical application of fluoride varnish | 4.3% | 417 | 417 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 267 | 267 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 55 | 27 | $5K |
| D4346 | 2.7% | 40 | 40 | $5K |
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 officialMASON, BRENTON (MEMBER)