Dental
Andersen, Tiffany
Andersen, Tiffany was paid $226.42 by Medicaid between Jul 2018 and Dec 2024, across 23 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 21% of everything it billed.
33Billing provider infoANDERSEN, TIFFANY
GLENDALE, AZ 85306
GLENDALE, AZ 85306
33aNPI1043525736assigned 08/18/2010
33bProvider typePediatric Dentist
28Total paid$226.42
24GClaims14,448
24DCodes billed23
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#189 of 223
Median peer was paid$24K
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 | |
|---|---|---|---|
| 2018 | 3,663 | $118.00 | |
| 2019 | 6,435 | $74.00 | |
| 2020 | 1,461 | $34.42 | |
| 2021 | 132 | $0.00 | |
| 2022 | 825 | $0.00 | |
| 2023 | 930 | $0.00 | |
| 2024incomplete | 1,002 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 21% | 46 | 45 | $47.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,863 | 1,814 | $44.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,225 | 2,155 | $34.00 |
| D1206 | Topical application of fluoride varnish | 13% | 2,438 | 2,335 | $30.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 2,104 | 1,738 | $26.40 |
| D0220 | Intraoral - periapical first radiographic image | 10% | 2,021 | 1,890 | $23.02 |
| D0274 | Bitewings - four radiographic images | 9.7% | 124 | 121 | $22.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 304 | 258 | $0.00 |
| D1999 | 0% | 182 | 143 | $0.00 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 141 | 37 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 99 | 97 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 333 | 179 | $0.00 |
11 more codes
| D0350 | 0% | 188 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 33 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 175 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 1,417 | $0.00 |
| D9997 | 0% | 13 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 171 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 260 | $0.00 |
| D0603 | 0% | 107 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 108 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 59 | $0.00 |
| D1330 | 0% | 37 | $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.