Tooth Club for Kids PCH PLLC

Tooth Club for Kids PCH PLLC was paid $2K by Medicaid between Dec 2024 and Dec 2024, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.

33Billing provider infoTOOTH CLUB FOR KIDS PCH PLLC
PHOENIX, AZ 85016

33aNPI1053144576assigned 08/21/2024

33bProvider typeDental Clinic/Center

28Total paid$2K

24GClaims263

24DCodes billed8

24AFirst – last monthDec 2024 – Dec 2024

Compared with peers

Next to other Dental Clinic/Center providers in Arizona

Rank by total paid#49 of 70

Median peer was paid$7K

This provider vs. median0.3×

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
2024incomplete	263	$2K

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	18%	36	14	$320.52
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	41	41	$292.68
D1120	Dental cleaning, childProphylaxis - child	17%	29	28	$291.52
D0274	Bitewings - four radiographic images	14%	23	23	$252.99
D1110	Prophylaxis - adult	10%	14	14	$178.32
D0230	Intraoral - periapical each additional radiographic image	8.6%	44	38	$150.45
D1208	Topical application of fluoride, excluding varnish	7.8%	38	38	$137.28
D0220	Intraoral - periapical first radiographic image	7.6%	38	38	$134.20

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 officialSTUBBS, KIMBERLIE (OFFICE MANAGER)