New Mexico Community Dental

New Mexico Community Dental was paid $196K by Medicaid between Jun 2018 and Jul 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.

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
2018	406	$16K
2019	1,189	$51K
2020	840	$36K
2021	358	$13K
2022	992	$34K
2023	1,185	$37K
2024incomplete	275	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	32%	1,822	1,815	$62K
D1110	Prophylaxis - adult	18%	790	789	$35K
D0330	Panoramic radiographic image	10%	420	419	$20K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.9%	268	145	$19K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.0%	321	150	$18K
D0210	Intraoral - complete series of radiographic images	6.5%	338	335	$13K
D0140	Limited oral evaluation - problem focused	6.3%	430	420	$12K
D0220	Intraoral - periapical first radiographic image	3.3%	581	577	$6K
D7140	Extraction, erupted tooth or exposed root	2.1%	61	26	$4K
D1208	Topical application of fluoride, excluding varnish	<1%	95	95	$2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	15	12	$2K
D0274	Bitewings - four radiographic images	<1%	57	57	$2K

2 more codes

D1120	Dental cleaning, child	<1%	12	$386.31
D0230	Intraoral - periapical each additional radiographic image	<1%	35	$374.24

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 officialTSCHEN, KWEI (OWNER)