Dental
Rez Pediatric Dentistry PLLC
Rez Pediatric Dentistry PLLC was paid $70K by Medicaid between Feb 2018 and Aug 2021, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoREZ PEDIATRIC DENTISTRY PLLC
GILBERT, AZ 85233
GILBERT, AZ 85233
33aNPI1043744857assigned 04/18/2017
33bProvider typeDentist
28Total paid$70K
24GClaims21,801
24DCodes billed29
24AFirst – last monthFeb 2018 – Aug 2021
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#77 of 468
Median peer was paid$686.85
This provider vs. median101×
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 | 1,417 | $619.00 | |
| 2019 | 4,454 | $6K | |
| 2020 | 7,090 | $31K | |
| 2021 | 8,840 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 2,167 | 634 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,801 | 2,757 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 864 | 326 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.3% | 461 | 174 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 930 | 907 | $3K |
| D0272 | Bitewings - two radiographic images | 4.9% | 2,083 | 2,050 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.5% | 431 | 173 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 2,651 | 2,509 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 2,058 | 2,018 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 1,536 | 1,512 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 2,493 | 2,282 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 378 | 369 | $1K |
17 more codes
| D1206 | Topical application of fluoride varnish | 1.9% | 944 | $1K |
| D0330 | Panoramic radiographic image | 1.9% | 416 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 246 | $1K |
| D7962 | 1.7% | 57 | $1K | |
| D1351 | Sealant - per tooth | 1.6% | 396 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 347 | $776.05 |
| D2330 | <1% | 75 | $636.45 | |
| D2332 | <1% | 66 | $484.76 | |
| D7961 | <1% | 25 | $452.36 | |
| D1110 | Prophylaxis - adult | <1% | 57 | $422.42 |
| D7960 | <1% | 27 | $388.00 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 44 | $326.45 |
| D0140 | Limited oral evaluation - problem focused | <1% | 101 | $276.89 |
| D0274 | Bitewings - four radiographic images | <1% | 57 | $258.97 |
| D9248 | <1% | 13 | $46.63 | |
| D9993 | 0% | 14 | $0.00 | |
| D0603 | 0% | 63 | $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 officialREZAKHAN, HAMED (OWNER)