Dental
A to Z Children's Dentistry - Westside, LLC
A to Z Children's Dentistry - Westside, LLC was paid $2.16M by Medicaid between Sep 2019 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoA TO Z CHILDREN'S DENTISTRY - WESTSIDE, LLC
ALBUQUERQUE, NM 87120
ALBUQUERQUE, NM 87120
33aNPI1982264545assigned 06/17/2019
33bProvider typePediatric Dentist
28Total paid$2.16M
24GClaims91,448
24DCodes billed21
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#10 of 44
Median peer was paid$240K
This provider vs. median9.0×
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 | 5,217 | $143K | |
| 2020 | 15,105 | $359K | |
| 2021 | 19,539 | $447K | |
| 2022 | 18,722 | $432K | |
| 2023 | 18,633 | $439K | |
| 2024incomplete | 14,232 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 13,780 | 13,693 | $434K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 6,449 | 6,408 | $224K |
| D1206 | Topical application of fluoride varnish | 8.7% | 10,300 | 10,222 | $187K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 15,135 | 13,205 | $162K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 14,059 | 13,917 | $158K |
| D0274 | Bitewings - four radiographic images | 7.2% | 5,323 | 5,307 | $157K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 6,389 | 6,363 | $144K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.3% | 1,006 | 435 | $115K |
| D0272 | Bitewings - two radiographic images | 4.7% | 4,974 | 4,954 | $101K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 3,363 | 3,226 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 1,145 | 773 | $84K |
| D1351 | Sealant - per tooth | 3.3% | 3,044 | 964 | $72K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,291 | $71K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 3,503 | $63K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 421 | $29K |
| D0330 | Panoramic radiographic image | 1.1% | 464 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 306 | $20K |
| D8660 | <1% | 171 | $18K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 240 | $7K |
| D1110 | Prophylaxis - adult | <1% | 44 | $2K |
| D9248 | <1% | 41 | $905.57 |
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 officialARAGON, ASHLEE (COO)