Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Avondale › NPI 1013526961
Dental

Az Family and Kids Dental Avondale LLC

Az Family and Kids Dental Avondale LLC was paid $308K by Medicaid between Oct 2020 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoAZ FAMILY AND KIDS DENTAL AVONDALE LLC
AVONDALE, AZ 85323
33aNPI1013526961assigned 07/27/2020
28Total paid$308K
24GClaims40,938
24DCodes billed24
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#45 of 530
Median peer was paid$920.17
This provider vs. median335×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, RICHARD controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
20201,399$1K
20214,265$22K
202210,105$80K
202311,636$84K
2024incomplete13,533$120K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17% 2,529 1,139 $53K
D1120 Dental cleaning, childProphylaxis - child 14% 4,013 3,967 $42K
D1206 Topical application of fluoride varnish 9.1% 5,378 5,322 $28K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.0% 3,444 3,412 $25K
D0150 Comprehensive oral evaluation - new or established patient 6.4% 2,027 2,004 $20K
D0220 Intraoral - periapical first radiographic image 6.3% 5,650 5,536 $19K
D0230 Intraoral - periapical each additional radiographic image 6.1% 6,387 4,692 $19K
D2930 Prefabricated stainless steel crown - primary tooth 5.8% 378 84 $18K
D1110 Prophylaxis - adult 5.3% 1,400 1,385 $16K
D0274 Bitewings - four radiographic images 3.8% 1,614 1,595 $12K
D0272 Bitewings - two radiographic images 3.7% 2,179 2,153 $11K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3.7% 398 226 $11K
12 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.6% 638 $11K
D0140 Limited oral evaluation - problem focused 2.7% 811 $8K
D1351 Sealant - per tooth 1.8% 676 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.5% 692 $5K
D0330 Panoramic radiographic image <1% 217 $2K
D2332 <1% 41 $1K
D2394 <1% 19 $578.50
D7140 Extraction, erupted tooth or exposed root <1% 14 $350.35
D9430 <1% 15 $74.70
D0603 0% 848 $0.00
D0602 0% 1,413 $0.00
D0601 0% 157 $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 officialSMITH, RICHARD (OWNER/DENTIST)
Same official

Other billing entities under SMITH, RICHARD

Full network →

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