Dental
Jal Hospital District
Jal Hospital District was paid $3K by Medicaid between Jun 2022 and Oct 2023, across 5 billing codes. Its largest line is D0330, Panoramic radiographic image — 37% of everything it billed.
33Billing provider infoJAL HOSPITAL DISTRICT
JAL, NM 88252
JAL, NM 88252
33aNPI1982890737assigned 09/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims110
24DCodes billed5
24AFirst – last monthJun 2022 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#168 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 | |
|---|---|---|---|
| 2022 | 14 | $639.69 | |
| 2023 | 96 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 37% | 27 | 27 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 25 | 25 | $757.50 |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 30 | 30 | $528.57 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 16 | 16 | $511.51 |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 12 | 12 | $128.20 |
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 officialDECK, ERIN (BUSINESS ADMINISTRATOR)