DEMING SOUTHWEST DENTAL, LLC
NPI: 1942816590
· DEMING, NM 88030
· Dental Clinic/Center
· NPI assigned 09/18/2020
$251K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
51 |
$30K |
| 2022 |
209 |
$13K |
| 2023 |
339 |
$60K |
| 2024 |
1,040 |
$149K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
60 |
60 |
$165K |
| D8660 |
|
196 |
196 |
$20K |
| D0330 |
Panoramic radiographic image |
319 |
319 |
$17K |
| D1110 |
Prophylaxis - adult |
295 |
295 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
266 |
266 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
124 |
56 |
$10K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
131 |
56 |
$7K |
| D1120 |
Prophylaxis - child |
179 |
179 |
$6K |
| D0340 |
|
69 |
68 |
$3K |