Dental
Highbury Dental Management, LLC
Highbury Dental Management, LLC was paid $1.66M by Medicaid between Sep 2019 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoHIGHBURY DENTAL MANAGEMENT, LLC
QUEEN CREEK, AZ 85140
QUEEN CREEK, AZ 85140
33aNPI1033675400assigned 02/11/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$1.66M
24GClaims105,779
24DCodes billed27
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#16 of 530
Median peer was paid$920.17
This provider vs. median1,808×
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 | |
|---|---|---|---|
| 2019 | 46 | $1K | |
| 2020 | 532 | $7K | |
| 2021 | 5,467 | $106K | |
| 2022 | 29,296 | $496K | |
| 2023 | 35,870 | $481K | |
| 2024incomplete | 34,568 | $573K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 14,756 | 13,517 | $374K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 13,134 | 11,973 | $229K |
| D1206 | Topical application of fluoride varnish | 13% | 16,137 | 14,801 | $209K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 2,621 | 1,308 | $156K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 22,312 | 9,538 | $139K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 13,749 | 12,304 | $120K |
| D0272 | Bitewings - two radiographic images | 4.2% | 5,570 | 5,108 | $71K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 2,460 | 2,391 | $67K |
| D0274 | Bitewings - four radiographic images | 3.7% | 3,227 | 2,998 | $61K |
| D1110 | Prophylaxis - adult | 2.9% | 1,588 | 1,505 | $49K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 540 | 108 | $44K |
| D1351 | Sealant - per tooth | 2.4% | 3,100 | 943 | $40K |
15 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 611 | $27K |
| D0330 | Panoramic radiographic image | 1.3% | 712 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 1,782 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 596 | $11K |
| D0240 | <1% | 1,204 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 242 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 76 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 132 | $2K |
| D0160 | <1% | 41 | $2K | |
| D1354 | <1% | 136 | $688.55 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $331.30 |
| D1999 | <1% | 162 | $216.60 | |
| D0603 | 0% | 177 | $0.00 | |
| D0602 | 0% | 602 | $0.00 | |
| D0601 | 0% | 99 | $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 officialMARTINEZ, RUTH (BILLING MANAGER)
Parent organizationHIGHBURY DENTAL MANAGEMENT, LLC