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    OpenPayerNPI Medicare & MedicaidSmall Fry Dentistry PC
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    Small Fry Dentistry PC — Billing Profile & Reimbursement Data

    NPI 1639361371 · Gallup, NM · Dentist

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    Small Fry Dentistry PC is a dentist provider located in Gallup, New Mexico. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationSmall Fry Dentistry PC
    Address1401 Linda Dr
    CityGallup
    StateNM
    ZIP87301
    TaxonomyDentist
    NPI EnumeratedAugust 16, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A4,090$120$490.2K
    D1120Prophylaxis–child11,020$30$341.6K
    D0150Comprehensive oral evaluation – new or established patient8,150$30$277.1K
    D2392Post 2 surface resin‑based composite3,080$70$218.3K
    D2391Resin‑based composite – one surface, posterior3,460$50$183.3K
    D1208Topical application of fluoride - excluding varnish9,780$20$176.1K
    D0240N/A11,300$10$135.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,690$70$111.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients6,170$20$111K
    D1351Sealant - per tooth4,340$20$99.7K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Mexico median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A2280870$120$456.1K
    D2392Post 2 surface resin‑based composite43250430$70$143.3K
    D1120Prophylaxis–child32380330$30$137.6K
    D2150Amalgam - two surfaces, primary or permanent2240190$70$98.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)50200290$70$91.7K
    D0150Comprehensive oral evaluation – new or established patient38440380$30$89.3K
    D2391Resin‑based composite – one surface, posterior25230250$60$86.8K
    D1208Topical application of fluoride - excluding varnish35410390$20$73K
    D1351Sealant - per tooth31140500$20$72.4K
    D0120Periodic oral evaluation - established patient44320250$20$70K

    Showing 1–10 of 21

    Nearby Providers

    Other providers in the same ZIP code as Small Fry Dentistry PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramah Care Services, Inc.NMAssisted Living Facility$0$33.4M
    Dhhs,phs,naihs, Gallup Indian Medical CenterNMGeneral Acute Care Hospital$0$32.6M
    Rehoboth Mckinley Christian Health Care Services, Inc.NMCritical Access Hospital$0$31.9M
    Red Rocks Dialysis, LLCNMEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$17M
    Native Resource Development Company Inc.NMIn Home Supportive Care Agency$0$14.7M
    Guardian Flight LLCNMAir Ambulance$2.1M$11M
    Special Care At Home, IncNMIn Home Supportive Care Agency$0$11M
    Tohatchi Area Of Opportunity & ServicesNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.3M
    Jjdac, LLCNMLand Ambulance$544.5K$9.6M
    Rehoboth Mckinley Christian Health Care Services, IncNMRural Health Clinic/Center$0$9.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Small Fry Dentistry PC — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico