Clinic
Southwest Dental
Southwest Dental was paid $43K by Medicaid between Aug 2023 and Dec 2024, across 11 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 24% of everything it billed.
33Billing provider infoSOUTHWEST DENTAL
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1851016125assigned 10/10/2022
33bProvider typeDental Clinic/Center
28Total paid$43K
24GClaims1,304
24DCodes billed11
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#34 of 41
Median peer was paid$351K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 106 | $3K | |
| 2024incomplete | 1,198 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 24% | 337 | 337 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 277 | 277 | $10K |
| D1110 | Prophylaxis - adult | 16% | 151 | 151 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 161 | 161 | $5K |
| D0330 | Panoramic radiographic image | 8.3% | 102 | 102 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 36 | 14 | $3K |
| D1206 | Topical application of fluoride varnish | 5.8% | 133 | 133 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 28 | 27 | $771.05 |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 54 | 54 | $633.46 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 13 | 13 | $307.60 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | 12 | $114.86 |
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 officialRANJBARAN, HAMID (PRESIDENT)