Dental
Mesa Valley Dental LLC
Mesa Valley Dental LLC was paid $1.24M by Medicaid between Mar 2020 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoMESA VALLEY DENTAL LLC
MESA, AZ 85206
MESA, AZ 85206
33aNPI1033750724assigned 10/03/2019
33bProvider typePediatric Dentist
28Total paid$1.24M
24GClaims107,797
24DCodes billed27
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#20 of 223
Median peer was paid$24K
This provider vs. median53×
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 GASKINS, FAITH controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 15,635 | $162K | |
| 2021 | 24,241 | $250K | |
| 2022 | 25,889 | $327K | |
| 2023 | 22,501 | $279K | |
| 2024incomplete | 19,531 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 12,602 | 12,249 | $233K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 12,592 | 12,261 | $157K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 2,391 | 1,315 | $101K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 15,207 | 12,241 | $88K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 13,502 | 13,092 | $86K |
| D0272 | Bitewings - two radiographic images | 6.7% | 8,051 | 7,828 | $83K |
| D1206 | Topical application of fluoride varnish | 6.2% | 8,396 | 8,187 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 5,912 | 5,782 | $54K |
| D1351 | Sealant - per tooth | 4.1% | 3,975 | 1,158 | $51K |
| D0274 | Bitewings - four radiographic images | 3.7% | 3,248 | 3,147 | $46K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 767 | 384 | $45K |
| D1110 | Prophylaxis - adult | 3.4% | 1,918 | 1,851 | $42K |
15 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 1,088 | $37K |
| D0330 | Panoramic radiographic image | 2.6% | 1,688 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 2,655 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,444 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 414 | $15K |
| D9248 | 1.1% | 373 | $14K | |
| D0240 | <1% | 836 | $7K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 434 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 90 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 152 | $2K |
| D1999 | <1% | 1,434 | $1K | |
| D1354 | <1% | 84 | $667.69 | |
| D3120 | <1% | 30 | $238.04 | |
| D0602 | 0% | 3,387 | $0.00 | |
| D0603 | 0% | 5,127 | $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 officialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Chris Larrow PLLC | Lawton, OK | $16.57M |
| Germantown Pediatric Dental & Orthodontic Center, LLC | Germantown, MD | $3.35M |
| Robstown Dental PLLC | Robstown, TX | $2.84M |
| Stan Kidtastic Dental LLC | San Tan Valley, AZ | $2.22M |
| Mesa Kidtastic Dental LLC | Mesa, AZ | $1.61M |
| Avondale Valley Dental LLC | Avondale, AZ | $1.39M |
| Peppermint Dental-Mckinney PLLC | Mckinney, TX | $1.35M |
| Mabank Family Dentistry PLLC | Mabank, TX | $753K |
| Stassney Austin Dental PLLC | Austin, TX | $659K |
| Northglenn Dentistry and Orthodontics PLLC | Northglenn, CO | $599K |
| Gulfside Dental Bridge City PLLC | Bridge City, TX | $569K |
| Archstone Dental PLLC | Fort Worth, TX | $561K |
| Gilbert Kidtastic Dental LLC | Gilbert, AZ | $481K |
| Riverside Austin Dental PLLC | Austin, TX | $396K |
| Dove Family Dentistry Oakland PLLC | Oakland, TN | $391K |
| Gilbert Valley Dental LLC | Gilbert, AZ | $296K |
| West Tennessee Dentistry PLLC | Jackson, TN | $287K |
| Copperas Cove Dentistry and Orthodontics PLLC | Copperas Cove, TX | $203K |
| East 51 Austin Dental PLLC | Austin, TX | $187K |
| Southpark Austin Dental PLLC | Austin, TX | $172K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.