Dental
770 Broadmoor Rio Rancho Professional LLC
770 Broadmoor Rio Rancho Professional LLC was paid $735K by Medicaid between Apr 2022 and Dec 2024, across 15 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 12% of everything it billed.
33Billing provider info770 BROADMOOR RIO RANCHO PROFESSIONAL LLC
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1841890373assigned 10/26/2020
33bProvider typeDentist
28Total paid$735K
24GClaims24,303
24DCodes billed15
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#32 of 179
Median peer was paid$47K
This provider vs. median16×
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 | 5,584 | $169K | |
| 2023 | 10,370 | $312K | |
| 2024incomplete | 8,349 | $254K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 12% | 3,113 | 3,090 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 2,448 | 2,429 | $85K |
| D4346 | 10% | 634 | 627 | $77K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,081 | 665 | $76K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 3,942 | 3,912 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 2,182 | 2,168 | $70K |
| D1351 | Sealant - per tooth | 7.9% | 2,441 | 499 | $58K |
| D1110 | Prophylaxis - adult | 7.3% | 1,235 | 1,227 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 1,685 | 1,673 | $38K |
| D0330 | Panoramic radiographic image | 4.0% | 1,028 | 1,016 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 487 | 334 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 2,216 | 2,189 | $25K |
3 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 officialGAMBOA, AMY (OFFICE MANAGER)