Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › ALBUQUERQUE › NEW MEXICO DEPARTMENT OF HEALTH

NEW MEXICO DEPARTMENT OF HEALTH

NPI: 1912024027 · ALBUQUERQUE, NM 87110 · General Practice Dentistry · NPI assigned 03/23/2007

$697K
Total Medicaid Paid
10,361
Total Claims
10,090
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOPELAND, JIM (DDSD DIRECTOR)
NPI Enumeration Date03/23/2007

Related Entities

Other providers sharing the same authorized official: COPELAND, JIM

ProviderCityStateTotal Paid
ALTA MIRA SPECIALIZED FAMILY SERVICES, INC. ALBUQUERQUE NM $46.06M
ALTA MIRA SPECIALIZED FAMILY SERVICES ALBUQUERQUE NM $7.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,482 $100K
2019 1,756 $119K
2020 792 $56K
2021 1,534 $103K
2022 1,545 $104K
2023 1,517 $99K
2024 1,735 $116K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 4,946 4,780 $476K
D1110 Prophylaxis - adult 3,655 3,636 $159K
D0150 Comprehensive oral evaluation - new or established patient 1,533 1,523 $51K
D0250 227 151 $11K