Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Mariposa Community Health Center, INC

Mariposa Community Health Center, INC was paid $3.64M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoMARIPOSA COMMUNITY HEALTH CENTER, INC
RIO RICO, AZ 85648
33aNPI1013213404assigned 02/01/2011
33bProvider typeDentist
28Total paid$3.64M
24GClaims62,759
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#5 of 468
Median peer was paid$686.85
This provider vs. median5,307×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201823,585$956K
20196,919$646K
20202,176$227K
20215,129$618K
20223,530$61K
20235,664$68K
2024incomplete15,756$1.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 21,710 16,976 $3.64M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 5,037 3,808 $51.58
D0274 Bitewings - four radiographic images <1% 2,357 2,105 $39.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 476 375 $14.17
90686 <1% 158 144 $7.20
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,129 962 $1.20
D0150 Comprehensive oral evaluation - new or established patient 0% 440 402 $0.00
D0140 Limited oral evaluation - problem focused 0% 1,428 1,284 $0.00
D1206 Topical application of fluoride varnish 0% 4,339 3,797 $0.00
90656 0% 178 157 $0.00
36416 0% 1,002 881 $0.00
D0250 0% 113 113 $0.00
57 more codes
D0272 Bitewings - two radiographic images 0% 1,233 $0.00
D0120 Dental checkup, returning patient 0% 3,400 $0.00
90636 0% 48 $0.00
90723 0% 13 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 218 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 1,484 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 718 $0.00
90680 0% 97 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 232 $0.00
36415 Collection of venous blood by venipuncture 0% 1,289 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 872 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 53 $0.00
90619 0% 53 $0.00
90651 0% 153 $0.00
D1351 Sealant - per tooth 0% 597 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 610 $0.00
90647 0% 104 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 33 $0.00
1220F 0% 167 $0.00
1036F 0% 78 $0.00
90688 0% 22 $0.00
90716 0% 12 $0.00
90696 0% 12 $0.00
D0220 Intraoral - periapical first radiographic image 0% 1,042 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 570 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 189 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 414 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 1,596 $0.00
D0251 0% 42 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 57 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 308 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 333 $0.00
90715 0% 119 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 278 $0.00
D0330 Panoramic radiographic image 0% 1,282 $0.00
D1120 Dental cleaning, child 0% 2,003 $0.00
96167 0% 65 $0.00
D1110 Prophylaxis - adult 0% 1,177 $0.00
90670 0% 196 $0.00
90633 0% 95 $0.00
90734 0% 67 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 457 $0.00
99173 0% 995 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 538 $0.00
83655 0% 134 $0.00
90671 0% 29 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 161 $0.00
81002 0% 84 $0.00
96152 0% 312 $0.00
90710 0% 12 $0.00
90700 0% 20 $0.00
96158 0% 126 $0.00
99177 0% 12 $0.00
D0190 0% 13 $0.00
1159F 0% 104 $0.00
90621 0% 39 $0.00
90685 0% 25 $0.00

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 officialTAYLOR, AMY (CHIEF EXECUTIVE OFFICER)
Parent organizationMARIPOSA COMMUNITY HEALTH CENTER, INC
Same official

Other billing entities under TAYLOR, AMY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.