Clinic
Dental House Trade Winds, LLC
Dental House Trade Winds, LLC was paid $120K by Medicaid between Jan 2018 and Mar 2021, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoDENTAL HOUSE TRADE WINDS, LLC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1871042457assigned 09/24/2016
33bProvider typeDental Clinic/Center
28Total paid$120K
24GClaims3,756
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#32 of 41
Median peer was paid$351K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 1,354 | $48K | |
| 2019 | 1,418 | $44K | |
| 2020 | 913 | $26K | |
| 2021 | 71 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 717 | 715 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 219 | 123 | $16K |
| D0274 | Bitewings - four radiographic images | 13% | 543 | 540 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 259 | 254 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 609 | 605 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.8% | 191 | 104 | $10K |
| D1110 | Prophylaxis - adult | 8.8% | 236 | 236 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 480 | 466 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.8% | 147 | 147 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 80 | 78 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 20 | 13 | $2K |
| D1206 | Topical application of fluoride varnish | 1.2% | 83 | 83 | $1K |
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 officialLEE, DOUGLAS (PRESIDENT/SECRETARY)