Clinic
Solterra Dentistry LLC
Solterra Dentistry LLC was paid $318.70 by Medicaid between Mar 2021 and Jun 2024, across 3 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 64% of everything it billed.
33Billing provider infoSOLTERRA DENTISTRY LLC
PHOENIX, AZ 85032
PHOENIX, AZ 85032
33aNPI1003421009assigned 09/15/2020
33bProvider typeDental Clinic/Center
28Total paid$318.70
24GClaims414
24DCodes billed3
24AFirst – last monthMar 2021 – Jun 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#57 of 70
Median peer was paid$7K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 87 | $11.90 | |
| 2022 | 90 | $47.60 | |
| 2023 | 165 | $211.00 | |
| 2024incomplete | 72 | $48.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 64% | 361 | 317 | $203.50 |
| D0140 | Limited oral evaluation - problem focused | 30% | 40 | 38 | $95.64 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 13 | 13 | $19.56 |
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 officialGOOLSBY, TERA (ACCOUNTANT)