Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERO DENTAL OF ALBUQUERQUE PC

NPI: 1871881623 · ALBUQUERQUE, NM 87110 · General Practice Dentistry · NPI assigned 07/14/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$13.55M
Total Medicaid Paid
459,284
Total Claims
393,691
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialURBANOZO, SHAUN (CREDENTIALING MANAGER)
NPI Enumeration Date07/14/2011

Related Entities

Other providers sharing the same authorized official: URBANOZO, SHAUN

ProviderCityStateTotal Paid
MISNER DENTAL CORP HUNTINGTON PARK CA $21.95M
ACADEMY KIDS DENTAL CENTER PC COLORADO SPRINGS CO $20.71M
HERO DENTAL OF DENVER PC DENVER CO $20.64M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $19.23M
CAPTAIN SMILES OF GREELEY PC GREELEY CO $18.75M
TWIN LAKES DENTAL PA WICHITA KS $16.74M
MONTANO DDS DENTAL CENTER PC BALTIMORE MD $16.50M
HERO VISION OF GREELEY LLC GREELEY CO $15.43M
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS LANDOVER HILLS MD $14.45M
HERO DENTAL OF AURORA PC AURORA CO $13.98M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $13.58M
RONALD B MONTANO DDS PC BALTIMORE MD $12.21M
HERO VISION OF LONGMONT, LLC LONGMONT CO $11.88M
COUNTRY CLUB DENTAL PA TOPEKA KS $11.68M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $11.68M
R. MISNER DENTAL CORPORATION GLENDALE CA $10.86M
PARKLANE DENTAL PA WICHITA KS $10.35M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $9.33M
PEDIATRIC DENTAL GROUP II, LLC TULSA OK $8.51M
HERO DENTAL OF SANTA FE PC SANTA FE NM $8.35M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66,225 $2.20M
2019 65,199 $1.79M
2020 47,299 $1.26M
2021 65,822 $1.78M
2022 68,245 $2.02M
2023 76,277 $2.30M
2024 70,217 $2.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 13,966 6,804 $1.64M
D1120 Prophylaxis - child 50,483 49,510 $1.58M
D0120 Periodic oral evaluation - established patient 50,900 49,918 $1.14M
D1206 Topical application of fluoride varnish 47,534 46,970 $873K
D2150 Silver amalgam - two surfaces, primary or permanent 11,679 7,204 $826K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 25,481 24,346 $679K
D2140 12,296 7,847 $661K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 202 161 $590K
D1351 Sealant - per tooth 25,200 10,362 $590K
D0272 Bitewings - two radiographic images 30,026 29,469 $570K
D0274 Bitewings - four radiographic images 20,953 20,477 $559K
D7140 Extraction, erupted tooth or exposed root 7,442 4,268 $483K
D0230 Intraoral - periapical each additional radiographic image 40,192 23,002 $460K
D1110 Prophylaxis - adult 11,221 10,970 $388K
D0150 Comprehensive oral evaluation - new or established patient 11,213 10,935 $380K
D0330 Panoramic radiographic image 7,468 7,329 $373K
D0220 Intraoral - periapical first radiographic image 31,636 30,777 $347K
D8660 3,451 3,307 $339K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,046 2,566 $218K
D1208 Topical application of fluoride, excluding varnish 13,025 12,341 $218K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,064 1,352 $151K
D2160 1,317 940 $115K
D7111 2,104 1,338 $100K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1,251 745 $96K
D0140 Limited oral evaluation - problem focused 2,357 2,295 $67K
D2332 294 220 $33K
D2330 343 252 $24K
D0210 Intraoral - complete series of radiographic images 1,934 990 $18K
D9920 501 445 $12K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 118 98 $11K
D1510 44 38 $6K
D1517 12 12 $2K
D9995 51 51 $1K
D0270 38 37 $376.79
D0602 611 590 $0.00
D0603 12,123 11,184 $0.00
D1330 13,243 12,251 $0.00
D0601 13 13 $0.00
D0350 1,596 1,478 $0.00
D1999 856 799 $0.00