Dental
Mai, Macy
Mai, Macy was paid $3K by Medicaid between Jun 2019 and Jul 2019, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoMAI, MACY
ROSWELL, NM 88201
ROSWELL, NM 88201
33aNPI1871942656assigned 06/12/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims144
24DCodes billed6
24AFirst – last monthJun 2019 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#172 of 202
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2019 | 144 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 19 | 19 | $592.42 |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 33 | 33 | $583.53 |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 15 | 15 | $513.75 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 17% | 17 | 16 | $454.41 |
| D0220 | Intraoral - periapical first radiographic image | 12% | 31 | 31 | $342.26 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.3% | 29 | 29 | $255.60 |
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.